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  1. FHIR Specification Feedback
  2. FHIR-41340

Change all US Core dependent QI-Core Profiles to inherit US Core Profiles 'as-is'

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    • Icon: Comment Comment
    • Resolution: Considered - No action required
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • current
    • Clinical Quality Information
    • 10 minute Apgar Heart Rate Observation Survey Example [deprecated]
    • QI-Core Examples
      QI-Core Profiles
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      Each respective QI-Core profile now has a specific tracker indicating which non-US Core elements are still required and which can be removed from the Key Element Table. Those trackers allow specific review of each of the respective elements.

      The QI-Core STU6 will incorporate the following US Core Observations directly referencing the US Core profiles:

      1. USCoreObservationOccupationProfile
      2. USCorePregnancyIntentProfile
      3. USCorePregnancyStatusProfile
      4. USCoreSexualOrientationProfile
      5. USCoreSmokingStatusObservationProfile
      6. USCoreVitalSignsProfile
      7. USCorePediatricHeadOccipitalFrontalCircumferencePercentileProfile
      8. USCorePediatricBMIforAgeObservationProfile
      9. USCorePediatricWeightforHeightObservationProfile
      10. USCoreBloodPressureProfile
      11. USCoreBMIProfie
      12. USCoreBodyTemperatureProfile
      13. USCoreBodyWeightProfle
      14. USCoreHeadCircumferenceProfile
      15. USCoreHeartRateProfile
      16. USCorePulseOximetryProfile
      17. USCoreRespiratoryRateProfile

      The QI-Core STU6 will have specific Observation-related profiles based on the following US Core profiles:

      1. QICoreObservationClinicalResultProfile
      2. QICoreLaboratoryResultProfile
      3. QICoreObservationScreeningAssessmentProfile
      4. QICoreSimpleObservationProfile

       
      The QI-Core STU6 will also directly inherit the following two US Core non-observation profiles:

      US Core Implantable Device Profile
      US Core Specimen Profile

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      Each respective QI-Core profile now has a specific tracker indicating which non-US Core elements are still required and which can be removed from the Key Element Table. Those trackers allow specific review of each of the respective elements. The QI-Core STU6 will incorporate the following US Core Observations directly referencing the US Core profiles: USCoreObservationOccupationProfile USCorePregnancyIntentProfile USCorePregnancyStatusProfile USCoreSexualOrientationProfile USCoreSmokingStatusObservationProfile USCoreVitalSignsProfile USCorePediatricHeadOccipitalFrontalCircumferencePercentileProfile USCorePediatricBMIforAgeObservationProfile USCorePediatricWeightforHeightObservationProfile USCoreBloodPressureProfile USCoreBMIProfie USCoreBodyTemperatureProfile USCoreBodyWeightProfle USCoreHeadCircumferenceProfile USCoreHeartRateProfile USCorePulseOximetryProfile USCoreRespiratoryRateProfile The QI-Core STU6 will have specific Observation-related profiles based on the following US Core profiles: QICoreObservationClinicalResultProfile QICoreLaboratoryResultProfile QICoreObservationScreeningAssessmentProfile QICoreSimpleObservationProfile   The QI-Core STU6 will also directly inherit the following two US Core non-observation profiles: US Core Implantable Device Profile US Core Specimen Profile

    Description

      The previous approach in QI-Core was to capture all requirements needed for measure or clinical decision support (CDS) use cases at the profile and element level such that any implementer could look at QI-Core to determine all elements that must be supported if measure or CDS expressions asked for them. Further authors of measures or CDS artifacts who restricted their expressions to only Must Support elements could have some assurance that respective data could be retrieved.  Given that no implementer systems have any conformance testing to QI-Core Must Support elements and there is no clear regulatory requirement for such conformance, there is no real assurance that such items are truly retrievable. Therefore this tracker and many others will specifically request the QI-Core profiles "go back to basics" and merely use the US Core profiles of the respective US Core version. The approach allows implementers to use the respective measures (or CDS artifacts) as the guide to what "non-standard" elements the measure requires - noting that each FHIR-based measure includes a listing of all required data element for that measure.

      Plan is to create a specific tracker for each of the QI-Core profiles that currently build on US Core profiles rather than inheriting them as-is and reference them in this tracker for ease of finding them and their resolution.  Thus, this is the higher-level rationale for each of the respective profile-related trackers.

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            Unassigned Unassigned
            feisenberg Floyd Eisenberg
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              Created:
              Updated:
              Resolved: