Implement USCDI v4 data class requirements by mapping required data elements to their corresponding US Core profiles and ensuring complete MustSupport field population when writing FHIR resources
Review the USCDI v4 data class and data element list and map each data element to the corresponding US Core profile (e.g., USCDI Average Blood Pressure maps to US Core Average Blood Pressure Profile)
For each FHIR resource being written, populate all MustSupport elements defined in the applicable US Core profile — systems claiming US Core conformance must be able to populate these fields if the data exists
Validate resources against the current US Core profiles using the FHIR $validate operation or a validation library, checking that all required bindings use codes from the correct value sets
Handle new USCDI v4 data classes such as Health Insurance Information by implementing the US Core Coverage profile with the required payer, beneficiary, and period elements populated
Document which USCDI data elements your system supports and which are not applicable for your use case, as the ONC certification criteria require attestation of supported data classes
Known gotchas
MustSupport in US Core means the system must support sending and receiving the element but does not mean the element is required to be present in every resource instance; conflating the two causes unnecessary validation failures
USCDI v4 added new data classes that may require new FHIR profiles not present in older US Core versions; verify you are implementing against the US Core version that corresponds to the ONC certification cycle you are targeting
Some USCDI data elements have no direct FHIR R4 mapping and require extensions or custom resource profiles; check the US Core supplemental guidance before modeling these edge cases
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