US CORE Data for Interoperability Overview
The US Core Profiles were originally designed to meet ONC Certification Criteria for Health IT for Patient Selection 170.315(g)(7), and Application Access – Data Category Request 170.315(g)(8). They were created for each item in the ONC Certification Criteria for Health IT Common Clinical Data Set (CCDS). The Location, Organization, and Practitioner Profiles are not called out specifically in the certification criteria but are included because they are directly referenced by other profiles. The US Core Profiles are include requirements from the US Core Data for Interoperability (USCDI) v1.
USCDI stands for United States Core Data for Interoperability. It's a standardized set of health data classes and their constituent data elements defined by the Office of the National Coordinator for Health Information Technology (ONC). The goal of USCDI is to facilitate nationwide, seamless exchange of electronic health information (EHI) between different healthcare providers and systems. This means regardless of where you receive care, your key health information should be accessible and understandable by those involved in your care.
Corresponding Objects
The table below lists the US Core Profile and FHIR Resources used for the corresponding USCDI Data elements:
| USCDI v.1 | US Core 3.1.1 |
|---|---|
| Allergies and Intolerances: - Substance (Medication) - Substance (Drug class) - Reaction |
US Core Allergy Intolerance Profile |
| Assessment and Plan of Treatment - Assessment and Plan of Treatment |
US Core CarePlan Profile |
| Care Team Members | US Core CareTeam Profile US Core Practitioner Profile |
| Clinical Notes - Consultation Note - Discharge Summary Note - History & Physical - Procedure Note - Progress Note - Imaging Narrative - Laboratory Report Narrative - Pathology Report Narrative |
US Core DocumentReference Profile US Core Diagnostic Report Profile for Report and Note Exchange |
| Goals - Patient Goals |
US Core Goal Profile |
| Health Concerns | US Core Condition Problems and Health Concerns Profile |
| Immunizations | US Core Immunization Profile |
| Laboratory - Tests - Values/Results |
US Core Laboratory Result Observation Profile US Core DiagnosticReport Profile For Laboratory Results |
| Medications | US Core MedicationRequest Profile US Core Medication Profile |
| Patient Demographics | US Core Patient Profile |
| Problems | US Core Condition Problems and Health Concerns Profile |
| Procedures | US Core Procedure Profile |
| Provenance - Author Timestamp - Author Organization |
US Core Provenance Profile |
| Smoking Status | US Core Smoking Status Observation Profile |
| Unique Device Identifiers | US Core Implantable Device Profile |
| Vital Signs | US Core Vital Signs Profile |