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Must Support

Page standards status: Informative

The Profile elements consist of Mandatory, Must Support, and Additional USCDI Requirements elements. The sections below define the server and client expectations for processing these elements and illustrate how they are displayed and documented.

Mandatory Elements

Mandatory elements have a minimum …

Must Support Elements

For querying and reading US Core Profiles, Must Support …

MS MS Targets

US Core Profile	Must Support Target Profiles
[US Core Pediatric Head Occipital Frontal Circumference Percentile Profile]	[US Core Patient Profile]
[US Core Pediatric BMI for Age Observation Profile]	[US Core Patient Profile]
[US Core Pediatric Weight for Height Observation Profile]	[US Core Patient Profile]
[US Core ADI DocumentReference Profile]	[US Core Patient Profile] [US Core Practitioner Profile]
[US Core AllergyIntolerance Profile]	[US Core Patient Profile]
[US Core Average Blood Pressure Profile]	[US Core Patient Profile]
[US Core Blood Pressure Profile]	[US Core Patient Profile]
[US Core BMI Profile]	[US Core Patient Profile]
[US Core Body Height Profile]	[US Core Patient Profile]
[US Core Body Temperature Profile]	[US Core Patient Profile]
[US Core Body Weight Profile]	[US Core Patient Profile]
[US Core Care Experience Preference Profile]	[US Core Patient Profile]
[US Core CarePlan Profile]	[US Core Patient Profile]
[US Core CareTeam Profile]	[US Core Patient Profile] [US Core Practitioner Profile] [US Core PractitionerRole Profile] [US Core RelatedPerson Profile]
[US Core Condition Encounter Diagnosis Profile]	[US Core Encounter Profile] [US Core Patient Profile]
[US Core Condition Problems and Health Concerns Profile]	[US Core Patient Profile]
[US Core Coverage Profile]	[US Core Organization Profile] [US Core Patient Profile]
[US Core DiagnosticReport Profile for Laboratory Results Reporting]	[US Core Encounter Profile] [US Core Laboratory Result Observation Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core DiagnosticReport Profile for Report and Note Exchange]	[Media] [US Core Encounter Profile] [US Core Laboratory Result Observation Profile] [US Core Observation Clinical Result Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core DocumentReference Profile]	[US Core Encounter Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core Encounter Profile]	[US Core Condition Encounter Diagnosis Profile] [US Core Condition Problems and Health Concerns Profile] [US Core Location Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core Goal Profile]	[US Core Patient Profile]
[US Core Head Circumference Profile]	[US Core Patient Profile]
[US Core Heart Rate Profile]	[US Core Patient Profile]
[US Core Immunization Profile]	[US Core Encounter Profile] [US Core Location Profile] [US Core Patient Profile]
[US Core Implantable Device Profile]	[US Core Patient Profile]
[US Core Location Profile]	[US Core Organization Profile]
[US Core MedicationDispense Profile]	[US Core Encounter Profile] [US Core Medication Profile] [US Core MedicationRequest Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core MedicationRequest Profile]	[US Core Encounter Profile] [US Core Medication Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core Observation ADI Documentation Profile]	[US Core ADI DocumentReference Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core Observation Clinical Result Profile]	[US Core Encounter Profile] [US Core Patient Profile]
[US Core Laboratory Result Observation Profile]	[US Core Encounter Profile] [US Core Patient Profile] [US Core Specimen Profile]
[US Core Observation Occupation Profile]	[US Core Patient Profile]
[US Core Observation Pregnancy Intent Profile]	[US Core Patient Profile]
[US Core Observation Pregnancy Status Profile]	[US Core Patient Profile]
[US Core Observation Screening Assessment Profile]	[US Core Observation Screening Assessment Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core QuestionnaireResponse Profile]
[US Core Observation Sexual Orientation Profile]	[US Core Patient Profile]
[US Core PractitionerRole Profile]	[Endpoint] [US Core Location Profile] [US Core Organization Profile] [US Core Practitioner Profile]
[US Core Procedure Profile]	[US Core Encounter Profile] [US Core Patient Profile]
[US Core Provenance Profile]	[US Core Organization Profile]
[US Core Pulse Oximetry Profile]	[US Core Patient Profile]
[US Core QuestionnaireResponse Profile]	[US Core Patient Profile] [US Core Practitioner Profile]
[US Core RelatedPerson Profile]	[US Core Patient Profile]
[US Core Respiratory Rate Profile]	[US Core Patient Profile]
[US Core ServiceRequest Profile]	[US Core Encounter Profile] [US Core Patient Profile] [US Core Practitioner Profile]
[US Core Simple Observation Profile]	[US Core Patient Profile] [US Core Practitioner Profile]
[US Core Smoking Status Observation Profile]	[US Core Patient Profile]
[US Core Specimen Profile]	[US Core Patient Profile]
[US Core Treatment Intervention Preference Profile]	[US Core Patient Profile]
[US Core Vital Signs Profile]	[US Core Patient Profile]

USCDI MS Targets

| US Core Profile | Choice of Target Profiles | |—|—|

MS Choice Targets

US Core Profile	Must Support Target Profiles
[US Core Pediatric Head Occipital Frontal Circumference Percentile Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Pediatric BMI for Age Observation Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Pediatric Weight for Height Observation Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Average Blood Pressure Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Blood Pressure Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core BMI Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Body Height Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Body Temperature Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Body Weight Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Head Circumference Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Heart Rate Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Pulse Oximetry Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Respiratory Rate Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]
[US Core Vital Signs Profile]	[US Core CareTeam Profile] [US Core Organization Profile] [US Core Patient Profile] [US Core Practitioner Profile] [US Core RelatedPerson Profile]

USCDI Choice Targets

US Core Profile	Choice of Target Profiles
[US Core MedicationRequest Profile]	[Observation]
[US Core Procedure Profile]	[DiagnosticReport] [DocumentReference] [Observation] [Procedure] [US Core CarePlan Profile] [US Core ServiceRequest Profile]
[US Core ServiceRequest Profile]	[DiagnosticReport] [DocumentReference] [Observation]
[US Core Simple Observation Profile]	[Media] [MolecularSequence] [Observation] [US Core DocumentReference Profile] [US Core QuestionnaireResponse Profile]

Additional USCDI Requirements

The US Core Profiles include requirements from the [U.S. Core Data for Interoperability (USCDI)]. Some US Core Profile elements needed to represent USCDI Data Elements for [ONC Health IT Certification] (g(10) certification) are not Mandatory or Must Support because many non-certifying implementers do not need them for their use cases. US Core designates these elements Additional USCDI Requirements.

Implementers seeking ONC certification SHALL interpret Additional USCDI Requirements as Must Support elements as documented above; otherwise, they are considered optional. All Mandatory, Must Support, or Additional USCDI Requirements are in scope for ONC Health IT Certification. See the [USCDI] page for more information about the US Core and USCDI relationship and a mapping between US Core Profiles and the USCDI Data Classes and Elements.

The table below lists the Additional USCDI Requirements and their corresponding Profiles and FHIR elements.

Additional USCDI Requirements	Profile	FHIR Element
Contact Detail	[US Core Patient Profile]	Patient.telecom
A Communication Language	[US Core Patient Profile]	Patient.communication
An Interpreter Required Flag	[US Core Patient Profile]	Patient.extension:interpreterRequired
An Interpreter Required Flag	[US Core Encounter Profile]	Encounter.extension:interpreterRequired
A Race	[US Core Patient Profile]	Patient.extension:race
An Ethnicity	[US Core Patient Profile]	Patient.extension:ethnicity
A Tribal Affiliation	[US Core Patient Profile]	Patient.extension:tribalAffiliation
A Sex	[US Core Patient Profile]	Patient.extension:sex
Sex Parameter For Clinical Use	[US Core Patient Profile]	Patient.extension:sexParameterForClinicalUse
Gender Identity	[US Core Patient Profile]	Patient.extension:genderIdentity
Personal Pronouns	[US Core Patient Profile]	Patient.extension:personalPronouns
Date Of Death	[US Core Patient Profile]	Patient.deceased[x]
Address Use	[US Core Patient Profile]	Patient.address.use
Address Period	[US Core Patient Profile]	Patient.address.period
Name Use	[US Core Patient Profile]	Patient.name.use
Name Period	[US Core Patient Profile]	Patient.name.period
Suffix	[US Core Patient Profile]	Patient.name.suffix
A Reason Or Indication For Referral Or Consultation	[US Core ServiceRequest Profile]	ServiceRequest.reasonCode
A Reason Or Indication For Referral Or Consultation	[US Core ServiceRequest Profile]	ServiceRequest.reasonReference
A Reason Or Indication For Referral Or Consultation	[US Core Procedure Profile]	Procedure.reasonCode
A Reason Or Indication For Referral Or Consultation	[US Core Procedure Profile]	Procedure.reasonReference
The Reason Or Indication For The Prescription	[US Core MedicationRequest Profile]	MedicationRequest.reasonCode
The Reason Or Indication For The Prescription	[US Core MedicationRequest Profile]	MedicationRequest.reasonReference
Medication Adherence	[US Core MedicationRequest Profile]	MedicationRequest.extension:medicationAdherence
A Reference To The Request For The Procedure	[US Core Procedure Profile]	Procedure.basedOn
US Core Document Category	[US Core DocumentReference Profile]	DocumentReference.category:uscore
References To An Associated Survey, Assessment, Or Screening Tool	[US Core Simple Observation Profile]	Observation.derivedFrom
Specimen Source Site	[US Core Specimen Profile]	Specimen.collection
Specimen Source Site	[US Core Specimen Profile]	Specimen.collection.bodySite
Specimen Condition Acceptability	[US Core Specimen Profile]	Specimen.condition