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The United States Core Data for Interoperability (USCDI) is a standardized set of health data classes and constituent data elements for nationwide, interoperable health information exchange.

From a developer perspective, it's important to understand the data classes because an [ONC certified](/content/docs/compliance/onc/index.html) electronic health record is required to expose well formed data via API in order to be compliant.

The USCDI guides are generally very helpful, as they provide guidance on how to represent common things like "Smoking Status", "Consultation Note" - they have a [helpful overview](https://www.healthit.gov/isa/united-states-core-data-interoperability-uscdi) available online. The [US Core Profiles](https://hl7.org/fhir/us/core/STU5.0.1/profiles.html) is also very useful.

At a high level, if you have:

- Data modeled as FHIR
- Tagged with the right code systems
- Populated with required fields

An implementation will be compliant and interoperability ready.

Medplum supports: US Core 6.1.0 / USCDI v3

## Summary Table
We find the following table useful to summarize common data elements found in an EHR to help implementors get started quickly.

| USCDI Data Classes/Elements | US Core Profiles | FHIR Resources |
| --- | --- | --- |
| Allergies and Intolerances: <br> ● Substance (Medication) <br> ● Substance (Drug Class) <br> ● Reaction | US Core [AllergyIntolerance](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-allergyintolerance.html) Profile | [AllergyIntolerance](/content/docs/api/fhir/resources/allergyintolerance/index.html) |
| Assessment and Plan of Treatment | US Core [CarePlan](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-careplan.html) Profile | [CarePlan](/content/docs/api/fhir/resources/careplan/index.html) |
| Care Team Members | US Core [CareTeam](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-careteam.html) Profile | [CareTeam](/content/docs/api/fhir/resources/careteam/index.html) |
| Clinical Notes:<br> ● Consultation Note <br> ● Discharge <br> ● Summary Note <br> ● History & Physical <br> ● Progress Note <br> ● Consultation Note | US Core [DocumentReference](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-documentreference.html) Profile <br> US Core Condition [DiagnosticReport Profile for Report and Note Exchange](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-note.html) | [DocumentReference](/content/docs/api/fhir/resources/documentreference/index.html) |
| Clinical Tests:<br> ● Clinical Test <br> ● Clinical Test Result/Report | US Core [Clinical Test Result Observation](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-clinical-test.html) Profile <br> US Core Condition [DiagnosticReport Profile for Report and Note Exchange](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-note.html) | [DocumentReference](/content/docs/api/fhir/resources/documentreference/index.html) |
| Diagnostic Imaging:<br> ● Diagnostic Imaging Test <br> ● Diagnostic Imaging Report | US Core [Diagnostic Imaging Result Observation](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-imaging.html) Profile <br> US Core Condition [DiagnosticReport Profile for Report and Note Exchange](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-note.html) | [DocumentReference](/content/docs/api/fhir/resources/documentreference/index.html) |
| Encounter Information <br> ● Encounter Type <br> ● Encounter Diagnosis <br> ● Encounter Time <br> ● Encounter Location <br> ● Encounter Disposition | US Core [Encounter](http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html) Profile <br> US Core Condition [Encounter Diagnosis](http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html) Profile | [Encounter](/content/docs/api/fhir/resources/encounter/index.html)<br>[Condition](/content/docs/api/fhir/resources/condition/index.html) |
| Goals: Patient Goals | US Core [Goal](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-goal.html) Profile | [Goal](/content/docs/api/fhir/resources/goal/index.html) |
| Goals: Health Concerns | US Core [Conditions, Problems and Health Concerns](http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-problems-health-concerns.html) Profile | [Condition](/content/docs/api/fhir/resources/condition/index.html) |
| Immunizations | US Core [Immunization](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-immunization.html) Profile | [Immunization](/content/docs/api/fhir/resources/immunization/index.html) |
| Laboratory <br> ● Tests <br> ● Values/Results | US Core [Laboratory Result Observation Profile](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-observation-lab.html)<br> US Core [DiagnosticReport](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-diagnosticreport-note.html) Profile for Report and Note Exchange | [Observation](/content/docs/api/fhir/resources/observation/index.html)<br>[DiagnosticReport](/content/docs/api/fhir/resources/diagnosticreport/index.html) |
| Medications | US Core [Medication](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medication.html) Profile <br> US Core [Medication Request](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-medicationrequest.html) Profile | [Medication](/content/docs/api/fhir/resources/medication/index.html)<br>[MedicationRequest](/content/docs/api/fhir/resources/medicationrequest/index.html) |
| Patient Demographics: <br> ● First Name <br> ● Last Name <br> ● Previous Name <br> ● Middle Name/Initial <br> ● Suffix <br> ● Birth Sex <br> ● Date of Birth <br> ● Race <br> ● Ethnicity <br> ● Preferred Language <br> ● Address <br> ● Phone Number | US Core [Patient](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html) Profile | [Patient resource docs](/content/docs/api/fhir/resources/patient/index.html)<br> Patient.name.given <br> Patient.name.family <br> Patient.name <br> Patient.name.given <br> Patient name.suffix <br> US Core Birth Sex Ext.<br> Patient.birthDate <br> US Core [Race Extension](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-patient.html)<br> US Core [Ethnicity Extension](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-ethnicity.html)<br> Patient.communication <br> Patient.address <br> Patient. [telecom](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-direct.html) |
| Problems | US Core [Condition Problems and Health Concerns](http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-condition-problems-health-concerns.html) Profile | [Condition](/content/docs/api/fhir/resources/condition/index.html) |
| Procedures | US Core [Procedure](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-procedure.html) Profile | [Procedure](/content/docs/api/fhir/resources/procedure/index.html) |
| Provenance: <br> ● Author Time Stamp <br> ● Author Organization | US Core [Provenance](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-provenance.html) Profile | [Provenance resource docs](/content/docs/api/fhir/resources/provenance/index.html)<br> Provenance.recorded <br> Provenance.agent |
| Smoking Status | US Core [Smoking Status](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-smokingstatus.html) Observation | [Observation](/content/docs/api/fhir/resources/observation/index.html) |
| Implantable Device | US Core [Implantable Device](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-implantable-device.html) Profile | [Device](/content/docs/api/fhir/resources/device/index.html) |
| Vitals: <br> ● Diastolic blood pressure <br> ● Systolic blood pressure <br> ● Body height <br> ● Body weight <br> ● Heart rate <br> ● Respiratory rate <br> ● Body temperature <br> ● Pulse oximetry <br> ● Inhaled oxygen concentration <br> ● BMI Percentile (ages 2-20) <br> ● Weight-for-length (0-36mos) <br> ● Occipital-frontal Head Circumference (0-36mos) | [B/P systolic and diastolic](http://hl7.org/fhir/R4/bp.html)<br>[Body Height](http://hl7.org/fhir/R4/bodyheight.html)<br>[Body Weight](http://hl7.org/fhir/R4/bodyweight.html)<br>[Heart Rate](http://hl7.org/fhir/R4/heartrate.html)<br>[Respiratory Rate](http://hl7.org/fhir/R4/resprate.html)<br>[Body Temperature](http://hl7.org/fhir/R4/bodytemp.html)<br> US Core [Pulse Oximetry](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-pulse-oximetry.html) Profile <br> US Core [Pediatric BMI for Age](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-pediatric-bmi-for-age.html)<br> US Core Pediatric [Weight for Height](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-pediatric-weight-for-height.html)<br> US Core [Pediatric Head <br><br> Circumference](https://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-head-occipital-frontal-circumference-percentile.html) | [Observation](/content/docs/api/fhir/resources/observation/index.html) |

## Sample Data
The [Inferno](https://github.com/inferno-framework) team provides representative sample data that conforms to the USCDI specification. [Download and import](/content/docs/tutorials/importing-sample-data/index.html) instructions sample data into your Medplum project.

- [Summary Table](/content/docs/fhir-datastore/understanding-uscdi-dataclasses#summary-table/index.html)
- [Sample Data](/content/docs/fhir-datastore/understanding-uscdi-dataclasses#sample-data/index.html)
