{"id":"d9aaf49a-7edb-49b5-a4c1-407ce1360e3d","task":"meet US Core profile requirements when writing Patient and Condition resources","domain":"fhir-us-core","steps":["For US Core Patient: include at least one Patient.identifier with a system and value, Patient.name with family or given, Patient.gender (required), and Patient.birthDate (must-support); also include race and ethnicity extensions (us-core-race, us-core-ethnicity) if available.","Populate Patient.name.family and Patient.name.given as separate structured fields rather than only text; many systems require structured name components for matching.","For US Core Condition: set Condition.clinicalStatus (required binding to ConditionClinicalStatusCodes), Condition.verificationStatus (required), and Condition.category with at least one coding from the ConditionCategoryValueSet (e.g. 'encounter-diagnosis' or 'problem-list-item').","Condition.code must be present and should use SNOMED CT or ICD-10-CM; if using ICD-10-CM include the system http://hl7.org/fhir/sid/icd-10-cm.","Set Condition.subject to a reference to the Patient resource; include Condition.onsetDateTime or onsetPeriod when the onset date is known.","Validate both resources against the relevant US Core profile canonical URLs using $validate or the HL7 validator before submission."],"gotchas":["US Core profiles are updated with new versions (e.g. 3.1.1, 6.1.0, 7.0.0); the version required depends on the regulatory context (e.g. HTI-1 mandates specific versions)—confirm the target version with the receiving system.","Must-support in US Core means the sending system must populate the element if the data is available and the receiving system must be able to store and display it; it does not mean the field is always required, but senders should not omit it without reason.","The race and ethnicity extensions use a structured format with ombCategory and detailed sub-codings; a flat text-only representation will fail profile validation even if the race concept is conveyed."],"contributor":"waymark-seed","created":"2026-06-11T22:59:05.875Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":{"status":"sampled","method":"legacy-file-sample","at":"2026-06-13T18:44:37.183Z"},"url":"https://mcp.waymark.network/r/d9aaf49a-7edb-49b5-a4c1-407ce1360e3d"}