2026 US Quality Core Implementation Guide - Downloaded Version 0.5.0 See the Directory of published versions

US Quality Core Profiles

US Quality Core Profiles

The following table lists the US Quality Core profiles that are part of the IG, which US Core profile they are derived from, if any, and the underlying FHIR resources.

US Quality Core inherits all profiles from QI-Core 6.0.0, but not all profiles included in this guide are required for conformance. Implementations are expected to support profiles with at least one USCDI+ Quality flagged data element, as described in the Summary of Conformance Requirements and the USCDI+ Quality in-scope and out-of-scope profile summaries. Profiles that are not part of the conformance expectations of this guide are marked with an asterisk (*) in the US Quality Core profile column.

US Quality Core (0.5.0) Profile	US Core (6.1.0) Profile	Base Resource
2.1.1 AdverseEvent
US Quality Core AdverseEvent	—	AdverseEvent
2.1.2 AllergyIntolerance
US Quality Core AllergyIntolerance	US Core AllergyIntolerance	AllergyIntolerance
2.1.3 BodyStructure
US Quality Core BodyStructure*	—	BodyStructure
2.1.4 CarePlan
US Quality Core CarePlan	US Core CarePlan	CarePlan
2.1.5 CareTeam
US Quality Core CareTeam	US Core CareTeam	CareTeam
2.1.6 Claim
US Quality Core Claim*	—	Claim
2.1.7 ClaimResponse
US Quality Core ClaimResponse*	—	ClaimResponse
2.1.8 Communication
US Quality Core Communication*	—	Communication
US Quality Core Communication Not Done*	—	Communication
2.1.9 CommunicationRequest
US Quality Core CommunicationRequest*	—	CommunicationRequest
2.1.10 Condition
US Quality Core Condition Encounter Diagnosis	US Core Condition Encounter Diagnosis	Condition
US Quality Core Condition Problems Health Concerns	US Core Condition Problems Health Concerns	Condition
2.1.11 Coverage
US Quality Core Coverage	US Core Coverage	Coverage
2.1.12 Device
US Quality Core Device*	—	Device
—	US Core Implantable Device	Device
2.1.13 DeviceRequest
US Quality Core Device Not Requested	—	DeviceRequest
US Quality Core DeviceRequest	—	DeviceRequest
2.1.14 DeviceUseStatement
US Quality Core DeviceUseStatement*	—	DeviceUseStatement
2.1.15 DiagnosticReport
US Quality Core DiagnosticReport Profile for Laboratory Results Reporting	US Core DiagnosticReport Profile for Laboratory Results Reporting	DiagnosticReport
US Quality Core DiagnosticReport Profile for Report and Note Exchange	US Core DiagnosticReport Profile for Report and Note Exchange	DiagnosticReport
2.1.16 Encounter
US Quality Core Encounter	US Core Encounter	Encounter
2.1.17 FamilyMemberHistory
US Quality Core FamilyMemberHistory	—	FamilyMemberHistory
2.1.18 Flag
US Quality Core Flag*	—	Flag
2.1.19 Goal
US Quality Core Goal	US Core Goal	Goal
2.1.20 ImagingStudy
US Quality Core ImagingStudy*	—	ImagingStudy
2.1.21 Immunization
US Quality Core Immunization	US Core Immunization	Immunization
US Quality Core Immunization Not Done	US Core Immunization	Immunization
2.1.22 ImmunizationEvaluation
US Quality Core ImmunizationEvaluation*	—	ImmunizationEvaluation
2.1.23 ImmunizationRecommendation
US Quality Core ImmunizationRecommendation*	—	ImmunizationRecommendation
2.1.24 Location
US Quality Core Location	US Core Location	Location
2.1.25 Medication
US Quality Core Medication	US Core Medication	Medication
2.1.26 MedicationAdministration
US Quality Core MedicationAdministration	—	MedicationAdministration
US Quality Core MedicationAdministration Not Done	—	MedicationAdministration
2.1.27 MedicationDispense
US Quality Core MedicationDispense	US Core MedicationDispense	MedicationDispense
US Quality Core MedicationDispense Declined	US Core MedicationDispense	MedicationDispense
2.1.28 MedicationRequest
US Quality Core Medication Not Requested	US Core MedicationRequest	MedicationRequest
US Quality Core MedicationRequest	US Core MedicationRequest	MedicationRequest
2.1.29 MedicationStatement
US Quality Core MedicationStatement*	—	MedicationStatement
2.1.30 NutritionOrder
US Quality Core NutritionOrder*	—	NutritionOrder
2.1.31 Observation
US Quality Core Simple Observation	US Core Simple Observation	Observation
US Quality Core Observation Cancelled	—	Observation
US Quality Core NonPatient Observation*	—	Observation
US Quality Core Laboratory Result Observation	US Core Laboratory Result Observation	Observation
US Quality Core Observation Clinical Result	US Core Observation Clinical Result	Observation
US Quality Core Observation Screening Assessment	US Core Observation Screening Assessment	Observation
—	US Core Vital Signs	Observation
—	US Core Blood Pressure	Observation
—	US Core BMI	Observation
—	US Core Body Height	Observation
—	US Core Body Temperature	Observation
—	US Core Body Weight	Observation
—	US Core Head Circumference	Observation
—	US Core Heart Rate	Observation
—	US Core Pediatric BMI for Age Observation	Observation
—	US Core Pediatric Head Occipital-frontal Circumference Percentile	Observation
—	US Core Pediatric Weight for Height Observation	Observation
—	US Core Pulse Oximetry	Observation
—	US Core Respiratory Rate	Observation
—	US Core Smoking Status	Observation
—	US Core Observation Occupation	Observation
—	US Core Observation Sexual Orientation	Observation
—	US Core Observation Pregnancy Intent	Observation
—	US Core Observation Pregnancy Status	Observation
2.1.32 Organization
US Quality Core Organization	US Core Organization	Organization
2.1.33 Patient
US Quality Core Patient	US Core Patient	Patient
2.1.34 Practitioner
US Quality Core Practitioner	US Core Practitioner	Practitioner
2.1.35 PractitionerRole
US Quality Core PractitionerRole	US Core PractitionerRole	PractitionerRole
2.1.36 Procedure
US Quality Core Procedure	US Core Procedure	Procedure
US Quality Core Procedure Not Done	US Core Procedure	Procedure
2.1.37 QuestionnaireResponse
US Quality Core QuestionnaireResponse*	US Core QuestionnaireResponse	QuestionnaireResponse
2.1.38 RelatedPerson
US Quality Core RelatedPerson	US Core RelatedPerson	RelatedPerson
2.1.39 ServiceRequest
US Quality Core Service Not Requested	US Core ServiceRequest	ServiceRequest
US Quality Core ServiceRequest	US Core ServiceRequest	ServiceRequest
2.1.40 Specimen
—	US Core Specimen	Specimen
2.1.41 Substance
US Quality Core Substance*	—	Substance
2.1.42 Task
US Quality Core Task	—	Task
US Quality Core Task Rejected	—	Task

Referencing US Quality Core Profiles

There are a number of US Quality Core profiles inherited directly from US Core profiles, if any, or other FHIR resources (i.e. US Core Implantable Device Profile, FHIR Vital Signs, US Core Smoking Status etc.) and the underlying Reference elements can address the US Core or FHIR profiles for the items referenced. For any other references to base FHIR resources or not formally defined in a US Quality Core Profile, the referenced resource SHALL be a US Quality Core Profile if a US Quality Core Profile exists for the resource type. For example, US Core Smoking Status references US Core Patient profile, the reference to Patient SHALL be a valid US Quality Core Patient.

Note to Implementers: US Quality Core profiles have been developed with the principle that if the profiles only need to provide references to US Quality Core Profiles, that is insufficient to require individual US Quality Core profiles for all US Core profiles. There are edge cases using this approach where the FHIR validator would not validate an assumption made by the measure author, such as that an encounter traced through an observation is a US Quality Core Encounter. We think that general validation of all the resources provided to the context of a measure evaluation can address that risk without the need for deriving specific profiles that only constrain reference types. We seek feedback on this point.

This change will strengthen the requirement to use a US Quality Core profile when using a base FHIR or US Core profile not formally defined in US Quality Core and to use US Quality Core profiles as referenced resources if a US Quality Core Profile exists for that resource.