Overview
The US Core Profiles 6.1.0 are designed to meet the requirements of the U.S. Core Data for Interoperability (USCDI) v3. They support ASTP Health IT Certification Program requirements and provide the foundation for interoperable health data exchange in the United States.
The US Core 6.1.0 profiles were created to align with USCDI v3, which expanded from 52 data elements in 16 data classes (USCDI v1) to 94 data elements in 19 data classes. USCDI v3 adds significant new capabilities focused on promoting health equity, reducing disparities, and supporting public health data interoperability.
Corresponding Objects
The table below lists the US Core 6.1.0 Profiles and FHIR Resources used for the corresponding USCDI v3 Data elements:
| USCDI v3 Data Class | USCDI v3 Data Elements | US Core 6.1.0 Profiles |
|---|---|---|
| Allergies and Intolerances | - Substance (Medication) - Substance (Drug class) - Reaction | US Core AllergyIntolerance Profile |
| Assessment and Plan of Treatment | - Assessment and Plan of Treatment - SDOH Assessment | US Core CarePlan Profile US Core Observation Screening Assessment Profile |
| Care Team Members | - Care Team Member Name - Care Team Member Identifier - Care Team Member Role - Care Team Member Location - Care Team Member Telecom | US Core CareTeam Profile US Core Practitioner Profile US Core PractitionerRole Profile US Core RelatedPerson Profile |
| Clinical Notes | - Consultation Note - Discharge Summary Note - History & Physical - Procedure Note - Progress Note Narrative | US Core DocumentReference Profile US Core DiagnosticReport Profile for Report and Note Exchange |
| Clinical Tests | - Clinical Test - Clinical Test Result/Report | US Core Observation Clinical Result Profile US Core DiagnosticReport Profile for Report and Note Exchange US Core ServiceRequest Profile |
| Diagnostic Imaging | - Diagnostic Imaging Test - Diagnostic Imaging Report | US Core DiagnosticReport Profile for Report and Note Exchange US Core ServiceRequest Profile |
| Encounter Information | - Encounter Type - Encounter Diagnosis - Encounter Time - Encounter Location - Encounter Disposition | US Core Encounter Profile US Core Condition Encounter Diagnosis Profile |
| Goals | - Patient Goals - SDOH Goals | US Core Goal Profile |
| Health Status Assessments | - Health Concerns - Disability Status - Mental/Cognitive Status - Functional Status - Pregnancy Status - Smoking Status | US Core Condition Problems and Health Concerns Profile US Core Observation Screening Assessment Profile US Core Observation Pregnancy Status Profile US Core Simple Observation Profile |
| Health Insurance Information | - Coverage Status - Relationship to Subscriber - Member Identifier - Subscriber Identifier - Payer Identifier - Group Identifier - Coverage Type | US Core Coverage Profile |
| Immunizations | - Immunization | US Core Immunization Profile |
| Laboratory | - Tests - Values/Results - Specimen Type - Result Status | US Core Observation Laboratory Result Profile US Core DiagnosticReport Profile for Laboratory Results Reporting US Core Specimen Profile |
| Medications | - Medication - Dose - Dose Unit of Measure - Indication - Fill Status | US Core MedicationRequest Profile US Core Medication Profile US Core MedicationDispense Profile |
| Patient Demographics/Information | - First Name - Last Name - Middle Name (Including middle initial) - Name Suffix - Previous Name - Date of Birth - Date of Death - Sex - Race - Ethnicity - Tribal Affiliation - Sexual Orientation - Gender Identity - Preferred Language - Current Address - Previous Address - Phone Number - Phone Number Type - Email Address - Related Person's Name - Related Person's Relationship - Occupation - Occupation Industry | US Core Patient Profile US Core RelatedPerson Profile |
| Problems | - Problem - SDOH Problems/Health Concerns - Date of Diagnosis - Date of Resolution | US Core Condition Problems and Health Concerns Profile |
| Procedures | - Procedure - SDOH Interventions - Reason for Referral | US Core Procedure Profile |
| Provenance | - Author Timestamp - Author Organization | US Core Provenance Profile |
| Unique Device Identifier(s) for a Patient's Implantable Device(s) | - Unique Device Identifier(s) for a patient's implantable device(s) | US Core Implantable Device Profile |
| Vital Signs | - Diastolic Blood Pressure - Systolic Blood Pressure - Body Height - Body Weight - Heart Rate - Respiratory Rate - Body Temperature - Pulse Oximetry - Inhaled Oxygen Concentration - BMI Percentile (2-20 years) - Weight-for-length Percentile (0-24 months) - Head Occipital-frontal Circumference Percentile (Birth - 36 Months) | US Core Vital Signs Profile US Core Blood Pressure Profile US Core BMI Profile US Core Head Circumference Profile |