Update to US Core 6.0 and simplify to remove unnecessary items for the quality use case in QI-Core 6.0   QI-Core Profile-based path Action Include in QI-Core 6.0 Justification Immunization. id KEEP YES   Immunization. implicitRules KEEP YES Present in US Core Immunization. modifierExtension KEEP YES Present in US Core Immunization. status KEEP YES USCDI – for QI-Core, required to be disjoint from ImmunizationNotDone for with required binding to Non-negativeImmunizationStatus Immunization. statusReason KEEP YES USCDI and MustSupport in US Core with example binding to ImmunizationStatusReasonCodes – cardinality is 0..1; do not need to include in Pattern for immunization in QI-Core Immunization. vaccineCode KEEP YES USCDI US Core and QI-Core with same extensible binding to CVX Vaccines Administered Vaccine Set Immunization. patient KEEP YES (Reference QI-Core Patient) USCDI US Core references US Core Patient – change to QI-Core Patient Immunization. encounter REMOVE NO No use case to constrain to a specific encounter Immunization.[occurrence [x] |http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-immunization-definitions.html#key_Immunization.occurrence[x]] KEEP YES USCDI US Core constrains to occurrentDateTime.  QI-Core includes occurrenceDateTime and occurrenceString -keep both for historical vaccines with potential for text dates Immunization. recorded KEEP YES Not present in USCDI/US Core but required for historical vaccines Immunization. primarySource KEEP YES USCDI US Core – Boolean – yes/no Immunization. location REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. manufacturer REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. site REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. route REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. doseQuantity REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. reasonCode REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. isSubpotent KEEP YES US Core – not USCDI but in US Core Key Element table even though not indicated as Must Support Immunization. reaction REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization.reaction. modifierExtension REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization.reaction. detail REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization. protocolApplied REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization.protocolApplied. modifierExtension REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization.protocolApplied. authority REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case Immunization.[doseNumber [x] |http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-immunization-definitions.html#key_Immunization.protocolApplied.doseNumber[x]] REMOVE NO Not in USCDI/US Core and not relevant to eCQM Use Case