QI-Core Profile-based path |
Action |
Include in QI-Core 6.0 |
Justification |
|
QICoreObservation.status |
Keep |
YES (Constrain from US Core) |
USCDI – Change value set binding to required for non-negative-observation-status (to assure disjoint relationship with Observation.cancelled |
|
QICoreObservation.Slices for category |
Keep |
YES (Modify as per US Core 6.0) |
USCDI – US Core 6.0 changed Clinical Test Result to Observation Clinical Result. The category slices use preferred binding to ObservationCategoryCodes and category:us-core with required binding to US Core Clinical Result Observation Category |
|
QICoreObservation.code |
Keep |
YES (Modify as per US Core 6.0) |
USCDI – The US Core 6.0 changed to Observation Clinical Result with extensible binding to LOINCCodes(i.e., change from the current QI-Core binding for .code) |
|
QICoreObservation.effective[x] |
Keep |
YES |
Same as US Core 6.0 – limited to dateTime |
|
QICoreObservation.[value[x] |
http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation-clinical-test-definitions.html#key_Observation.value[x]] |
Keep |
YES |
USCDI – US Core 6.0 includes only valueQuantity, valueCodeableConcept, and valueString. QICore alsoincludes valueBoolean, valueInteger, valueRange, valueRatio, valueTime, valueDateTime, valuePeriod. Retain all QICore current value datatypes |
QICoreObservation.dataAbsentReason |
Keep |
YES |
USCDI – US Core extensible binding to DataAbsentReason |
|
QICoreObservation.interpretation |
Keep |
YES |
Not included in US Core/USCDI but has value similar to lab tests as discovered by eCQM community. Retain extensible binding to ObservationInterpretationCodes |
|
QICoreObservationClinicalTestResult.basedOn |
Do Not Add |
NO |
This element comes from the QDM to QI-Core mapping. Any relationship can be managed using CQL timing expressions. |
|
QICoreObservationClinicalTestResult.partOf |
Do Not Add |
NO |
This element comes from the QDM to QI-Core mapping. Any relationship can be managed using CQL timing expressions. |
|
QICoreObservation.component |
REMOVE |
NO |
Not used in existing measures. Rather than requesting nested laboratory tests, eCQMs have used specific LOINC codes to indicate the desired lab test. |
|
QICoreObservation.component.code |
REMOVE |
NO |
Not used in existing measures. Rather than requesting nested laboratory tests, eCQMs have used specific LOINC codes to indicate the desired lab test. |
|
QICoreObservation.component.[value[x] |
http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-observation-lab-definitions.html#key_Observation.component.value[x]] |
REMOVE |
NO |
Not used in existing measures. Rather than requesting nested laboratory tests, eCQMs have used specific LOINC codes to indicate the desired lab test. |
|
QICoreObservation.component.interpretation |
REMOVE |
NO |
Not used in existing measures. Rather than requesting nested laboratory tests, eCQMs have used specific LOINC codes to indicate the desired lab test. |
|