US Core Implementation Guide
7.0.0 - STU7 United States of America flag

This page is part of the US Core (v7.0.0: STU7) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: STU6.1 STU6 STU5 STU4 STU3

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 Home
... 2 Conformance
.... 2.1 General Requirements
.... 2.2 Must Support
..... 2.2.1 Observation Summary Table
.... 2.3 SMART on FHIR Obligations and Capabilities
... 3 Guidance
.... 3.1 USCDI
.... 3.2 General Guidance
.... 3.3 Clinical Notes
.... 3.4 Medication List
.... 3.5 Basic Provenance
.... 3.6 Screening and Assessments
.... 3.7 Changes Between Versions
.... 3.8 Future of US Core
..... 3.8.1 Writing Vital Signs
... 4 Profiles and Extensions
... 5 Capability Statements
... 6 Search Parameters and Operations
... 7 Terminology
... 8 Security
... 9 Examples
... 10 Downloads
... 11 Change Log
... 12 US Core ImplementationGuide Resource
... 13 Artifacts Summary
.... 13.1 US Core Client CapabilityStatement
.... 13.2 US Core Server CapabilityStatement
.... 13.3 US Core Fetch DocumentReference
.... 13.4 USCoreAllergyintoleranceClinicalStatus
.... 13.5 USCoreAllergyintolerancePatient
.... 13.6 USCoreCareplanCategory
.... 13.7 USCoreCareplanDate
.... 13.8 USCoreCareplanPatient
.... 13.9 USCoreCareplanStatus
.... 13.10 USCoreCareteamPatient
.... 13.11 USCoreCareTeamRole
.... 13.12 USCoreCareteamStatus
.... 13.13 USCoreConditionAbatementDate
.... 13.14 USCoreConditionAssertedDate
.... 13.15 USCoreConditionCategory
.... 13.16 USCoreConditionClinicalStatus
.... 13.17 USCoreConditionCode
.... 13.18 USCoreConditionEncounter
.... 13.19 USCoreConditionLastUpdated
.... 13.20 USCoreConditionOnsetDate
.... 13.21 USCoreConditionPatient
.... 13.22 USCoreConditionRecordedDate
.... 13.23 USCoreCoveragePatient
.... 13.24 USCoreDevicePatient
.... 13.25 USCoreDeviceStatus
.... 13.26 USCoreDeviceType
.... 13.27 USCoreDiagnosticreportCategory
.... 13.28 USCoreDiagnosticreportCode
.... 13.29 USCoreDiagnosticreportDate
.... 13.30 USCoreDiagnosticreportLastUpdated
.... 13.31 USCoreDiagnosticreportPatient
.... 13.32 USCoreDiagnosticreportStatus
.... 13.33 USCoreDocumentreferenceCategory
.... 13.34 USCoreDocumentreferenceDate
.... 13.35 USCoreDocumentreferenceId
.... 13.36 USCoreDocumentreferencePatient
.... 13.37 USCoreDocumentreferencePeriod
.... 13.38 USCoreDocumentreferenceStatus
.... 13.39 USCoreDocumentreferenceType
.... 13.40 USCoreEncounterClass
.... 13.41 USCoreEncounterDate
.... 13.42 USCoreEncounterDischargeDisposition
.... 13.43 USCoreEncounterId
.... 13.44 USCoreEncounterIdentifier
.... 13.45 USCoreEncounterLastUpdated
.... 13.46 USCoreEncounterLocation
.... 13.47 USCoreEncounterPatient
.... 13.48 USCoreEncounterStatus
.... 13.49 USCoreEncounterType
.... 13.50 USCoreEthnicity
.... 13.51 USCoreGoalDescription
.... 13.52 USCoreGoalLifecycleStatus
.... 13.53 USCoreGoalPatient
.... 13.54 USCoreGoalTargetDate
.... 13.55 USCoreImmunizationDate
.... 13.56 USCoreImmunizationPatient
.... 13.57 USCoreImmunizationStatus
.... 13.58 USCoreLocationAddress
.... 13.59 USCoreLocationAddressCity
.... 13.60 USCoreLocationAddressPostalcode
.... 13.61 USCoreLocationAddressState
.... 13.62 USCoreLocationName
.... 13.63 USCoreMedicationdispensePatient
.... 13.64 USCoreMedicationdispenseStatus
.... 13.65 USCoreMedicationdispenseType
.... 13.66 USCoreMedicationrequestAuthoredon
.... 13.67 USCoreMedicationrequestEncounter
.... 13.68 USCoreMedicationrequestIntent
.... 13.69 USCoreMedicationrequestPatient
.... 13.70 USCoreMedicationrequestStatus
.... 13.71 USCoreObservationCategory
.... 13.72 USCoreObservationCode
.... 13.73 USCoreObservationDate
.... 13.74 USCoreObservationLastUpdated
.... 13.75 USCoreObservationPatient
.... 13.76 USCoreObservationStatus
.... 13.77 USCoreOrganizationAddress
.... 13.78 USCoreOrganizationName
.... 13.79 USCorePatientBirthdate
.... 13.80 USCorePatientDeathDate
.... 13.81 USCorePatientFamily
.... 13.82 USCorePatientGender
.... 13.83 USCorePatientGenderIdentity
.... 13.84 USCorePatientGiven
.... 13.85 USCorePatientId
.... 13.86 USCorePatientIdentifier
.... 13.87 USCorePatientName
.... 13.88 USCorePractitionerId
.... 13.89 USCorePractitionerIdentifier
.... 13.90 USCorePractitionerName
.... 13.91 USCorePractitionerrolePractitioner
.... 13.92 USCorePractitionerroleSpecialty
.... 13.93 USCoreProcedureCode
.... 13.94 USCoreProcedureDate
.... 13.95 USCoreProcedurePatient
.... 13.96 USCoreProcedureStatus
.... 13.97 USCoreQuestionnaireresponseAuthored
.... 13.98 USCoreQuestionnaireresponseId
.... 13.99 USCoreQuestionnaireresponsePatient
.... 13.100 USCoreQuestionnaireresponseQuestionnaire
.... 13.101 USCoreQuestionnaireresponseStatus
.... 13.102 USCoreRace
.... 13.103 USCoreRelatedpersonId
.... 13.104 USCoreRelatedpersonName
.... 13.105 USCoreRelatedpersonPatient
.... 13.106 USCoreServicerequestAuthored
.... 13.107 USCoreServicerequestCategory
.... 13.108 USCoreServicerequestCode
.... 13.109 USCoreServicerequestId
.... 13.110 USCoreServicerequestPatient
.... 13.111 USCoreServicerequestStatus
.... 13.112 USCoreSpecimenId
.... 13.113 USCoreSpecimenPatient
.... 13.114 US Core AllergyIntolerance Profile
.... 13.115 US Core Average Blood Pressure Profile
.... 13.116 US Core Blood Pressure Profile
.... 13.117 US Core BMI Profile
.... 13.118 US Core Body Height Profile
.... 13.119 US Core Body Temperature Profile
.... 13.120 US Core Body Weight Profile
.... 13.121 US Core Care Experience Preference Profile
.... 13.122 US Core CarePlan Profile
.... 13.123 US Core CareTeam Profile
.... 13.124 US Core Condition Encounter Diagnosis Profile
.... 13.125 US Core Condition Problems and Health Concerns Profile
.... 13.126 US Core Coverage Profile
.... 13.127 US Core DiagnosticReport Profile for Laboratory Results Reporting
.... 13.128 US Core DiagnosticReport Profile for Report and Note Exchange
.... 13.129 US Core DocumentReference Profile
.... 13.130 US Core Encounter Profile
.... 13.131 US Core Goal Profile
.... 13.132 US Core Head Circumference Profile
.... 13.133 US Core Heart Rate Profile
.... 13.134 US Core Immunization Profile
.... 13.135 US Core Implantable Device Profile
.... 13.136 US Core Laboratory Result Observation Profile
.... 13.137 US Core Location Profile
.... 13.138 US Core Medication Profile
.... 13.139 US Core MedicationDispense Profile
.... 13.140 US Core MedicationRequest Profile
.... 13.141 US Core Observation Clinical Result Profile
.... 13.142 US Core Observation Occupation Profile
.... 13.143 US Core Observation Pregnancy Intent Profile
.... 13.144 US Core Observation Pregnancy Status Profile
.... 13.145 US Core Observation Screening Assessment Profile
.... 13.146 US Core Observation Sexual Orientation Profile
.... 13.147 US Core Organization Profile
.... 13.148 US Core Patient Profile
.... 13.149 US Core Pediatric BMI for Age Observation Profile
.... 13.150 US Core Pediatric Head Occipital Frontal Circumference Percentile Profile
.... 13.151 US Core Pediatric Weight for Height Observation Profile
.... 13.152 US Core Practitioner Profile
.... 13.153 US Core PractitionerRole Profile
.... 13.154 US Core Procedure Profile
.... 13.155 US Core Provenance Profile
.... 13.156 US Core Pulse Oximetry Profile
.... 13.157 US Core QuestionnaireResponse Profile
.... 13.158 US Core RelatedPerson Profile
.... 13.159 US Core Respiratory Rate Profile
.... 13.160 US Core ServiceRequest Profile
.... 13.161 US Core Simple Observation Profile
.... 13.162 US Core Smoking Status Observation Profile
.... 13.163 US Core Specimen Profile
.... 13.164 US Core Treatment Intervention Preference Profile
.... 13.165 US Core Vital Signs Profile
.... 13.166 US Core Birth Sex Extension
.... 13.167 US Core Direct email Extension
.... 13.168 US Core Ethnicity Extension
.... 13.169 US Core Extension Questionnaire URI
.... 13.170 US Core Gender Identity Extension
.... 13.171 US Core Jurisdiction Extension
.... 13.172 US Core Medication Adherence Extension
.... 13.173 US Core Race Extension
.... 13.174 US Core Sex Extension
.... 13.175 US Core Tribal Affiliation Extension
.... 13.176 US Core USCDI Requirement Extension
.... 13.177 Detailed ethnicity
.... 13.178 Detailed Race
.... 13.179 Language codes with language and optionally a region modifier
.... 13.180 OMB Ethnicity Categories
.... 13.181 OMB Race Categories
.... 13.182 US Core Clinical Note Type
.... 13.183 US Core Clinical Result Observation Category
.... 13.184 US Core Condition Codes
.... 13.185 US Core Diagnostic Report Category Codes
.... 13.186 US Core Discharge Disposition
.... 13.187 US Core DocumentReference Category
.... 13.188 US Core DocumentReference Type
.... 13.189 US Core Encounter Type
.... 13.190 US Core Goal Codes
.... 13.191 US Core Laboratory Test Codes
.... 13.192 US Core Narrative Status
.... 13.193 US Core Non Laboratory Codes
.... 13.194 US Core Pregnancy Intent Codes
.... 13.195 US Core Pregnancy Status Codes
.... 13.196 US Core Problem or Health Concern
.... 13.197 US Core Procedure Codes
.... 13.198 US Core Provenance Participant Type Codes
.... 13.199 US Core Screening Assessment Condition Category
.... 13.200 US Core Screening Assessment Observation Category
.... 13.201 US Core ServiceRequest Category Codes
.... 13.202 US Core Simple Observation Category
.... 13.203 US Core Status for Smoking Status Observation
.... 13.204 US Core Survey Codes
.... 13.205 USPS Two Letter Alphabetic Codes
.... 13.206 US Core CarePlan Category Extension Codes
.... 13.207 US Core Category
.... 13.208 US Core Condition Category Extension Codes
.... 13.209 US Core DocumentReferences Category Codes
.... 13.210 US Core Provenance Participant Type Extension Codes
.... 13.211 10 minute Apgar Color Example
.... 13.212 10 minute Apgar Heart Rate Example
.... 13.213 10 minute Apgar Muscle Tone Example
.... 13.214 10 minute Apgar Reflex Irritability Example
.... 13.215 10 minute Apgar Respiratory effort Example
.... 13.216 10 Minute Apgar Score Example
.... 13.217 10 Minute Apgar Score Panel Example
.... 13.218 Ahc-Hrsn Item Observation Example 68517-2
.... 13.219 Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] Questionnaire Example
.... 13.220 Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] QuestionnaireResponse Example
.... 13.221 Alcohol Use Status Example
.... 13.222 Alcoholic Drinks Per Day Example
.... 13.223 AllergyIntolerance Example
.... 13.224 AllergyIntolerance Non-pharmacologic Agent Example
.... 13.225 AllergyIntolerance Provenance Example
.... 13.226 At Home In Vitro Test Example
.... 13.227 Audit-C Item Example 68517-2
.... 13.228 Audit-C Item Example 68519-8
.... 13.229 Audit-C Item Example 68520-6
.... 13.230 Audit-C Item Example 75626-2
.... 13.231 Audit-C Panel Example 72109-2
.... 13.232 Average Blood Pressure Example
.... 13.233 Blood Pressure Example
.... 13.234 BMI Example
.... 13.235 BP Data Absent Example
.... 13.236 Capillary refill Time Nail Bed Example
.... 13.237 Care Experience Preference Example
.... 13.238 CareTeam Example
.... 13.239 CBC Example
.... 13.240 Chest Xray Example
.... 13.241 Cigarette Pack-Years Example
.... 13.242 Colonoscopy Example
.... 13.243 Condition Duodenal Ulcer Example
.... 13.244 Coverage Example
.... 13.245 Deceased Patient Example
.... 13.246 Device Defib Example
.... 13.247 Device Knee Example
.... 13.248 DiagnosticReport Cardiology Report Example
.... 13.249 DiagnosticReport Chest Xray Report Example
.... 13.250 Discharge Summary Example
.... 13.251 Docref Example 1
.... 13.252 Docref Example 2
.... 13.253 DXA Bone density quantitative measurement panel Example
.... 13.254 DXA Femur-L ArMass BMD Example
.... 13.255 DXA Femur-L T-score BMD Example
.... 13.256 DXA Femur-L Z-score BMD Example
.... 13.257 DXA Hip-L ArMass BMD Example
.... 13.258 DXA Hip-L T-score BMD Example
.... 13.259 DXA Hip-L Z-score BMD Example
.... 13.260 EKG impression Example
.... 13.261 EKG lead Example
.... 13.262 EKG Strip Image
.... 13.263 Encounter 1 Example
.... 13.264 Encounter 1036 Example
.... 13.265 Encounter Delivery Example
.... 13.266 Encounter Diagnosis Example 1
.... 13.267 Encounter Diagnosis Example 2
.... 13.268 Episode Summary Example
.... 13.269 Erythrocytes Example
.... 13.270 Evs Item Example 68516-4
.... 13.271 Evs Item Example 89555-7
.... 13.272 Evs Panel Example 89574-8
.... 13.273 Exercise Per Day Example
.... 13.274 Exercise Per Week Example
.... 13.275 Exercise Vital Sign Questionnaire Example
.... 13.276 Exercise Vital Sign QuestionnaireResponse Example
.... 13.277 Goal 1 Example
.... 13.278 Goal 2 Example
.... 13.279 Head Circumference Example
.... 13.280 Health Concern Example
.... 13.281 Heart Rate Example
.... 13.282 Heart rate rhythm Example
.... 13.283 Height Example
.... 13.284 Hematocrit Example
.... 13.285 Hemoglobin Example
.... 13.286 Hemolyzed Serum Specimen Example
.... 13.287 HL7East Example
.... 13.288 Hospital Location
.... 13.289 Hvs Item Example 88122-7
.... 13.290 Hvs Item Example 88123-5
.... 13.291 Hvs Item Example 88124-3
.... 13.292 Hvs Panel Example 88121-9
.... 13.293 Imm 1 Example
.... 13.294 Jugular vein distension Example
.... 13.295 Length Example
.... 13.296 Leukocytes Example
.... 13.297 MCH Example
.... 13.298 MCHC Example
.... 13.299 MCV Example
.... 13.300 Medication Dispense Example
.... 13.301 MedicationRequest Coded Oral Axid Example
.... 13.302 MedicationRequest Contained Oral Axid Example
.... 13.303 MedicationRequest Referenced Oral Axid Example
.... 13.304 MedicationRequest Self Tylenol Example
.... 13.305 Metabolic Panel Example
.... 13.306 Missing Coded Data Example
.... 13.307 Observation SatO2 FiO2 Example
.... 13.308 Occupation Observation Example
.... 13.309 Occupation Observation Example: Industry Unknown
.... 13.310 Occupation Observation Example: Unknown Occupation
.... 13.311 OFC Percentile Example
.... 13.312 Organization 2 Example
.... 13.313 Organization Acme Lab Example
.... 13.314 Organization Acme Payer Example
.... 13.315 Organization Holy Healthcare Example
.... 13.316 Oxygen Saturation Example
.... 13.317 P-R interval {EKG lead} Example
.... 13.318 Patient Child Example
.... 13.319 Patient Example
.... 13.320 Patient Infant Example
.... 13.321 Patient Niece Example
.... 13.322 Pediatric BMI Example
.... 13.323 Pediatric Wt Example
.... 13.324 PHQ9 Item Example 44250-9
.... 13.325 PHQ9 Item Example 44251-7
.... 13.326 PHQ9 Item Example 44252-5
.... 13.327 PHQ9 Item Example 44253-3
.... 13.328 PHQ9 Item Example 44254-1
.... 13.329 PHQ9 Item Example 44255-8
.... 13.330 PHQ9 Item Example 44258-2
.... 13.331 PHQ9 Item Example 44259-0
.... 13.332 PHQ9 Item Example 44260-8
.... 13.333 PHQ9 Item Example 44261-6
.... 13.334 PHQ9 Item Example 69722-7
.... 13.335 PHQ9 Panel Example 44249-1
.... 13.336 Platelets Example
.... 13.337 Practitioner 1 Example
.... 13.338 Practitioner 2 Example
.... 13.339 Practitioner Pharmacist Example
.... 13.340 PractitionerRole_Practitioner_Endpoint_Bundle_Example Example
.... 13.341 Prapare Item Example 54899-0
.... 13.342 Prapare Item Example 56051-6
.... 13.343 Prapare Item Example 56799-0
.... 13.344 Prapare Item Example 63512-8
.... 13.345 Prapare Item Example 63586-2
.... 13.346 Prapare Item Example 67875-5
.... 13.347 Prapare Item Example 71802-3
.... 13.348 Prapare Item Example 76437-3
.... 13.349 Prapare Item Example 76501-6
.... 13.350 Prapare Item Example 82589-3
.... 13.351 Prapare Item Example 93026-3
.... 13.352 Prapare Item Example 93027-1
.... 13.353 Prapare Item Example 93028-9
.... 13.354 Prapare Item Example 93029-7
.... 13.355 Prapare Item Example 93030-5
.... 13.356 Prapare Item Example 93033-9
.... 13.357 Prapare Item Example 93034-7
.... 13.358 Prapare Item Example 93035-4
.... 13.359 Prapare Item Example 93038-8
.... 13.360 Prapare Multiselect-Item Example 32624-9-Answer0
.... 13.361 Prapare Multiselect-Item Example 32624-9-Answer1
.... 13.362 Prapare Multiselect-Item Example 93031-3-Answer0
.... 13.363 Prapare Multiselect-Item Example 93031-3-Answer1
.... 13.364 Prapare Panel Example 93025-5
.... 13.365 Prapare Panel Example 93039-6
.... 13.366 Prapare Panel Example 93040-4
.... 13.367 Prapare Panel Example 93041-2
.... 13.368 Prapare Panel Example 93042-0
.... 13.369 PRAPARE Panel Example 93043-8
.... 13.370 Pregnancy Intent Observation Example
.... 13.371 Pregnancy Status Observation Example
.... 13.372 Procedure Defibrillator Implant Example
.... 13.373 Pulse intensity Palpation Example
.... 13.374 Q-T interval {EKG lead} Example
.... 13.375 QRS dur {EKG lead} Example
.... 13.376 Questionnaire Hunger Vital Sign [HVS] Example
.... 13.377 Questionnaire PHQ-9 Example
.... 13.378 Questionnaire PRAPARE Example
.... 13.379 QuestionnaireResponse Glascow Coma Score Example
.... 13.380 QuestionnaireResponse Hunger Vital Sign [HVS] Example
.... 13.381 QuestionnaireResponse PHQ-9 Example
.... 13.382 QuestionnaireResponse PRAPARE Example
.... 13.383 Rehab Example
.... 13.384 Respiratory Rate Example
.... 13.385 Saint Luke W Endpoint Example
.... 13.386 SDOH Problem/Health Concern Example
.... 13.387 Serum BUN Example
.... 13.388 Serum Calcium Example
.... 13.389 Serum Chloride Example
.... 13.390 Serum CO2 Example
.... 13.391 Serum Creatinine Example
.... 13.392 Serum Glucose Example
.... 13.393 Serum Potassium Example
.... 13.394 Serum Sodium Example
.... 13.395 Serum Specimen Example
.... 13.396 Serum Total Bilirubin Example
.... 13.397 ServiceRequest Example
.... 13.398 ServiceRequest for Rehab Example
.... 13.399 Sexual Orientation Observation Example
.... 13.400 Simple Observation Cognitive Status Example
.... 13.401 Simple Observation Disability Status Example
.... 13.402 Simple Observation Functional Status Example
.... 13.403 Simple Observation SDOH Example
.... 13.404 Some Day Smoker Example
.... 13.405 Substance Use Status Example
.... 13.406 Taps Item Example 75889-6
.... 13.407 Taps Item Example 88037-7
.... 13.408 Taps Item Example 96842-0
.... 13.409 Taps Item Example 96843-8
.... 13.410 Taps Item Example 96844-6
.... 13.411 Taps Panel Example 96841-2
.... 13.412 Targeted Provenance Example
.... 13.413 Targeted Provenance Patient Example
.... 13.414 Temperature Example
.... 13.415 Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS] Questionnaire Example
.... 13.416 Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS] QuestionnaireResponse Example
.... 13.417 Treatment Intervention Preference Example
.... 13.418 UDI 1 Example
.... 13.419 Urobilinogen Example
.... 13.420 Uscore Med1 Example
.... 13.421 Uscore Med2 Example
.... 13.422 Weight Example
.... 13.423 Xray Chest Findings Example
.... 13.424 Xray Chest Impression Example