2022-05 US Core/USCDI v2

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Short Description	This track will test: The preview version of US Core IG 5.0.0 and the new content to comply with the ONC USCDI v2
Long Description	The US FHIR Core IG was balloted in HL7 in January 2022 Ballot and US Core IG 5.0.0 will be published in next couple of weeks. This version of US Core is the basis for further testing and guidance by the Argonaut Project Team. The guide will retain the US Core artifacts and names and provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing § 170.315(g)(10) of the servers for conformance to the profiles and be capable of responding to all of the “supported searches” specified in the US Core Implementation Guide Server CapabilityStatement. The USCDI v2 was released in July and contains data classes and elements from USCDI v1 and new data classes and elements submitted through the ONDEC system.
Agenda	subject to change! - see Whova Schedule at https://whova.com/portal/webapp/cmsoc_202210/Agenda Sign in Sheet!
Type	Testing an implementation Guide
Submitting Work Group/Project/Accelerator/Affiliate/Implementer Group	Argonaut
Proposed Track Lead	Brett Marquard <brett@waveoneassociates.com> Yunwei Wang <yunweiw@mitre.org> (tentative)
Related Tracks	2022-01 Gravity SDOH Exchange
FHIR Version	FHIR 4.0.1
Specification(s) this track uses	US Core IG Version 5.0.0 Preview (http://build.fhir.org/ig/HL7/US-Core/)
Artifacts of focus	What’s new in Version 5.0.0 of US Core: New and updated resources to meet the U.S. Core Data for Interoperability (USCDI) v2 new Data Elements and Classes that the Office of the National Coordinator (ONC) published in July of 2021: A Social Determinants Of Health (SDOH) guidance page on using US Core to represent and access SDOH Assessments, Goals, Interventions, and Problems/Health Concerns. US Core Observation Survey Profile, US Core Observation SDOH Assessment Profile, and US Core QuestionnaireResponse Profile to represent SDOH Assessments US Core ServiceRequest Profile to represent SDOH Interventions US Core Observation Clinical Test Result Profile to represent Clinical Test Results US Core Observation Imaging Result Profile to represent Imaging Results US Core Gender Identity Extension for patient demographics US Core Observation Sexual Orientation Profile for patient demographics US Core RelatedPerson Profile to represent care member such as a caretaker. Updates to US Core CareTeam Profile Updates to US Core Encounter Profile US Core Condition has been split into: US Core Condition Encounter Diagnosis Profile to represent encounter diagnosis US Core Condition Problems and Health Concerns Profile to represent problems and health concerns included SDOH health concerns. New pages and headers: Change Log new header and page. content migrated from the Directory of published versions page to create this page Conformance new Header that contains these pages: General Requirements content migrated from version 4.0.0 General Requirements and Conformance Expectation pages Must Support renamed and edited from version 4.0.0 Conformance Expectation pages USCDI content migrated from version 4.0.0 General Requirements Page Changes Between Versions rewritten and renamed from version 4.0.0 DSTU2 to R4 Conversion page Link more terminology directly to the FHIR Terminology Service for VSAC Resources and align terminology between US Core and HL7 C-CDA. All the updates to US Core IG Version 5.0.0 Preview (http://build.fhir.org/ig/HL7/US-Core/) are published in the change log here: http://build.fhir.org/ig/HL7/US-Core/changes.html
Clinical input requested (if any)
Patient input requested (if any)
Expected participants	Signup sheet Implementers who want to test changes for USCDI v2
Zulip stream	#argonaut
Zoom Link
Track Orientation Date	Track Overview Slides
Track Details	For systems interested in Scenarios for USCDI v2 and US Core IG 4.1.0 STU4 Ballot, test servers for conformance to the US Core profiles required by USCDI V2 See this Postman Documentation using a Postman Collection for testing out the search API and validating resources for the Preview Version 5.0.0 US Core. See below for details about this Postman Collection Here is list of profiles- those highlighted are tested in the Postman Collection: AllergyIntolerance: US Core AllergyIntolerance Profile CarePlan: US Core CarePlan Profile CareTeam: US Core CareTeam Profile UPDATED Condition: US Core Condition Encounter Diagnosis Profile NEW US Core Condition Problems and Health Concerns Profile NEWSDOH Device: US Core Implantable Device Profile DiagnosticReport: US Core DiagnosticReport Profile for Laboratory Results Reporting US Core DiagnosticReport Profile for Report and Note ExchangeUPDATED DocumentReference: US Core DocumentReference Profile Encounter: US Core Encounter ProfileUPDATED Goal: US Core Goal ProfileSDOH Immunization: US Core Immunization Profile Location: US Core Location Profile Medication: US Core Medication Profile MedicationRequest: US Core MedicationRequest Profile Observation: US Core Observation Sexual Orientation Profile NEW US Core Vital Signs Profile US Core Head Circumference Profile US Core Pulse Oximetry Profile US Core BMI Profile US Core Blood Pressure Profile US Core Body Weight Profile US Core Pediatric BMI for Age Observation Profile US Core Pediatric Head Occipital-frontal Circumference Percentile Profile US Core Body Height Profile US Core Body Temperature Profile US Core Pediatric Weight for Height Observation Profile US Core Heart Rate Profile US Core Respiratory Rate Profile US Core Observation Imaging Result ProfileNEW US Core Laboratory Result Observation Profile US Core Observation Survey ProfileNEW US Core Observation SDOH Assessment ProfileNEWSDOH US Core Observation Social History ProfileNEWSDOH US Core Smoking Status Observation Profile US Core Observation Clinical Test Result ProfileNEW Organization: US Core Organization Profile Patient: US Core Patient ProfileUPDATED Practitioner: US Core Practitioner Profile PractitionerRole: US Core PractitionerRole Profile Procedure: US Core Procedure ProfileSDOH Provenance: US Core Provenance Profile QuestionnaireResponse: US Core QuestionnaireResponse ProfileNEWSDOH RelatedPerson: US Core RelatedPerson ProfileNEW ServiceRequest: US Core ServiceRequest ProfileNEW
Test Data	The Postman Collection for testing out the search API and validating resources for the Preview Version 5.0.0 US Core can be run directly in Postman using All the variables are collection variables as listed in the Postman Collection folder: Notes: The "Test Results: tab display validations results ( Error, Warnings and Information) for each search result. The "Visualize" tab displays the returned searchset bundle in a tabular format the {{patient_id}} variable initial value is "202205uscore-patient-example-1" the {{base_url}} variable is assigned from the environment if that is empty or undefined it defaults to theHAPI R4 reference server the {{validator_url}} variable is assigned to Grahame's R4 reference and used to validated the first resource in the search bundle with the $validate operation. Currently, we do not have a reference implementation that validate all the latest US Core Profiles Currently. we do not have a reference implementation that supports all the custom search parameters Collection is in a public workspace and DM Eric Haas on Zulip if you want to contribute The Test data is in a FHIR transaction bundle and can be downloaded from: http://bitly.ws/qCw7
Manual Track Testing	Scenario. Testing conformance to US Core 3.1.1 Scenario 0: End-to-End § 170.315(g)(10) Mock Test (not official certification)* Run all § 170.315(g)(10) required tests using Inferno Program Edition or other testing application Scenario 1: Patient search Searches by _id Searches by identifier Searches by name Searches by gender + name Searches by birthdate + name Bonus: Searches by _id + _revIncludes: Provenance:target Validate search result Scenario 2: Smoking Status search Searches by patient + code Bonus: Searches by patient + code + _revInclude: Provenance:target Validate search result Scenario 3: Clinical Notes search Searches DocumentReference by patient + type Searches DiagnsoticReport by patient + category Validate DiagnosticReport and DocumentReference reference the same attachment Scenario 4: Provenance Search Search Patient by _id + _revIncludes: Provenance:target (if not done in Scenario 1) Search Smoking Statue by patient + code + _revInclude: Provenance:target (if not done in Scenario 2) Bonus: Test retrieving, editing and posting an update Scenario 5: Search and validate additional resources using client application validate searches from each Profile Quick start are supported, resources retrieved as search results are valid. The list of candidate resource profiles are listed at the end of this page. Scenario 6: Bonus: Writing Create DocumentationReference * Test the servers for conformance to the US Core profiles required by USCDI, ONC Standardized API for Patient and Population Services criterion § 170.315(g)(10) in the 2015 Edition Cures Update, and beyond! Here is list of profiles: US Core AllergyIntolerance Profile US Core CarePlan Profile US Core CareTeam Profile US Core Condition Profile US Core DiagnosticReport Profile for Laboratory Results Reporting US Core DiagnosticReport Profile for Report and Note exchange US Core DocumentReference Profile US Core Encounter Profile US Core Goal Profile US Core Immunization Profile US Core Implantable Device Profile US Core Laboratory Result Observation Profile US Core MedicationRequest Profile US Core Organization Profile US Core Patient Profile US Core Pediatric BMI for Age Observation Profile US Core Pediatric Weight for Height Observation Profile US Core Pediatric Head Occipital-frontal Circumference Percentile Profile US Core Practitioner Profile US Core Procedure Profile US Core Provenance Profile US Core Pulse Oximetry Profile US Core Smoking Status Observation Profile US Core Pressure Profile US Core Body Height Profile US Core Body Temperature Profile US Core Body Weight Profile US Core Heart Rate Profile US Core Respiration Rate Profile

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2022-05 US Core/USCDI v2

Short Description

Long Description

Agenda

Type

Submitting Work Group/Project/Accelerator/Affiliate/Implementer Group

Proposed Track Lead

Related Tracks

FHIR Version

Specification(s) this track uses

Artifacts of focus

What’s new in Version 5.0.0 of US Core:

Clinical input requested (if any)

Patient input requested (if any)

Expected participants

Zulip stream

Zoom Link

Track Orientation Date

Track Details

For systems interested in Scenarios for USCDI v2 and US Core IG 4.1.0 STU4 Ballot, test servers for conformance to the US Core profiles required by USCDI V2

See this Postman Documentation using a Postman Collection for testing out the search API and validating resources for the Preview Version 5.0.0 US Core.

See below for details about this Postman Collection

Here is list of profiles- those highlighted are tested in the Postman Collection:

The Postman Collection for testing out the search API and validating resources for the Preview Version 5.0.0 US Core can be run directly in Postman using

All the variables are collection variables as listed in the Postman Collection folder:

Manual Track Testing

Scenario. Testing conformance to US Core 3.1.1

Scenario 0: End-to-End § 170.315(g)(10) Mock Test (not official certification)*

Scenario 1: Patient search

Scenario 2: Smoking Status search

Scenario 3: Clinical Notes search

Scenario 4: Provenance Search

Scenario 5: Search and validate additional resources using client application

Scenario 6: Bonus: Writing

* Test the servers for conformance to the US Core profiles required by USCDI, ONC Standardized API for Patient and Population Services criterion § 170.315(g)(10) in the 2015 Edition Cures Update, and beyond! Here is list of profiles: