US Core Server CapabilityStatement - XML Representation - US Core Implementation Guide v8.0.0-ballot

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
: US Core Server CapabilityStatement - XML Representation

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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="us-core-server"/>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml"> <h3 id="shall_igs" class="no_toc">SHALL Support the Following Implementation Guides:</h3> <ul> <li><a href="https://hl7.org/fhir/smart-app-launch/STU2/">SMART App Launch 2.0.0</a></li> </ul> <h3 id="behavior">FHIR RESTful Capabilities</h3> <p>The US Core Server <strong>SHALL</strong>:</p> <ol> <li>Support the US Core Patient resource profile AND at least one additional resource profile from the list of US Core Profiles AND and all <em>Must Support</em> US Core Profiles and resources it references. <ul> <li>A summary table listing all the <em>Must Support</em> references to other US Core Profiles and FHIR resources for each US Core Profile is located in the <a href="must-support.html#must-support---resource-references">Must Support - Resource References</a> section of the guide.</li> </ul> </li> <li>Follow the requirements documented in the <a href="general-requirements.html">General Requirements</a> and <a href="must-support.html">Must Support</a> pages</li> <li>Return the following response classes: <ul> <li>(Status 400): invalid parameter</li> <li>(Status 401/4xx): unauthorized request</li> <li>(Status 403): insufficient scopes</li> <li>(Status 404): unknown resource</li> </ul> </li> <li>Support JSON source formats for all US Core interactions.</li> </ol> <p>The US Core Server <strong>SHOULD</strong>:</p> <ol> <li>Follow the guidance documented in the <a href="general-guidance.html">General Guidance</a> page</li> <li>Support XML source formats for all US Core interactions.</li> <li>Identify the US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li> </ol> <p><strong>NOTE</strong>: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations. They specify additional expectations for the following SearchParameter elements:</p> <ul> <li><code>multipleAnd</code></li> <li><code>multipleOr</code></li> <li><code>comparator</code></li> <li><code>modifier</code></li> <li><code>chain</code></li> </ul> <p>For search operations, Servers <strong>SHOULD</strong> use the standard FHIR SearchParameters.</p> <p id="security"><strong>Security:</strong></p> <ol> <li>See the <a href="security.html">General Security Considerations</a> section for requirements and recommendations.</li> <li>A server <strong>SHALL</strong> reject any unauthorized requests by returning an <code>HTTP 401</code> &quot;Unauthorized&quot;, <code>HTTP 403</code> &quot;Forbidden&quot;, or <code>HTTP 404</code> &quot;Not Found&quot;</li> </ol> <p><strong>Summary of System Wide Interactions</strong></p> <ul> <li><strong>MAY</strong> support the <code>transaction</code> interaction.</li> <li><strong>MAY</strong> support the <code>batch</code> interaction.</li> <li><strong>MAY</strong> support the <code>search-system</code> interaction.</li> <li><strong>MAY</strong> support the <code>history-system</code> interaction.</li> </ul> <h3 id="resource-details" class="no_toc">RESTful Capabilities by Resource/Profile:</h3> <h4>Summary</h4> <table class="grid"> <thead> <tr> <th>Resource Type</th> <th>Supported Profiles</th> <th>Supported Searches</th> <th>Supported <code>_includes</code></th> <th>Supported <code>_revincludes</code></th> <th>Supported Operations</th> </tr> </thead> <tbody> <tr> <td> <a href="#allergyintolerance">AllergyIntolerance</a> </td> <td> <a href="StructureDefinition-us-core-allergyintolerance.html">US Core AllergyIntolerance Profile</a> </td> <td> clinical-status, patient patient+clinical-status </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#careplan">CarePlan</a> </td> <td> <a href="StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a> </td> <td> category, date, patient, status patient+category+status+date, patient+category+date, patient+category+status, patient+category </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#careteam">CareTeam</a> </td> <td> <a href="StructureDefinition-us-core-careteam.html">US Core CareTeam Profile</a> </td> <td> patient, role, status patient+role, patient+status </td> <td> CareTeam:participant:PractitionerRole, CareTeam:participant:Practitioner, CareTeam:participant:Patient, CareTeam:participant:RelatedPerson </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#condition">Condition</a> </td> <td> <a href="StructureDefinition-us-core-condition-encounter-diagnosis.html">US Core Condition Encounter Diagnosis Profile</a>, <a href="StructureDefinition-us-core-condition-problems-health-concerns.html">US Core Condition Problems and Health Concerns Profile</a> </td> <td> abatement-date, asserted-date, category, clinical-status, code, encounter, onset-date, patient, recorded-date, _lastUpdated patient+recorded-date, patient+asserted-date, patient+code, patient+category+clinical-status, patient+onset-date, patient+category+encounter, patient+_lastUpdated, patient+clinical-status, patient+category, patient+abatement-date </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#coverage">Coverage</a> </td> <td> <a href="StructureDefinition-us-core-coverage.html">US Core Coverage Profile</a> </td> <td> patient </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#device">Device</a> </td> <td> <a href="StructureDefinition-us-core-implantable-device.html">US Core Implantable Device Profile</a> </td> <td> patient, status, type patient+type, patient+status </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#diagnosticreport">DiagnosticReport</a> </td> <td> <a href="StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note exchange</a>, <a href="StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a> </td> <td> category, code, date, _lastUpdated, patient, status patient+code, patient+category+_lastUpdated, patient+status, patient+category, patient+category+date, patient+code+date </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#documentreference">DocumentReference</a> </td> <td> <a href="StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a> </td> <td> _id, category, date, patient, period, status, type patient+type+period, patient+status, patient+category, patient+category+date, patient+type </td> <td> - </td> <td> Provenance:target </td> <td> docref </td> </tr> <tr> <td> <a href="#encounter">Encounter</a> </td> <td> <a href="StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a> </td> <td> _id, class, date, _lastUpdated, discharge-disposition, identifier, location, patient, status, type patient+type, patient+location, class+patient, patient+discharge-disposition, patient+_lastUpdated, patient+status, date+patient </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#endpoint">Endpoint</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#goal">Goal</a> </td> <td> <a href="StructureDefinition-us-core-goal.html">US Core Goal Profile</a> </td> <td> description, lifecycle-status, patient, target-date patient+lifecycle-status, patient+description, patient+target-date </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#healthcareservice">HealthcareService</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#immunization">Immunization</a> </td> <td> <a href="StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a> </td> <td> date, patient, status patient+status, patient+date </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#location">Location</a> </td> <td> <a href="StructureDefinition-us-core-location.html">US Core Location Profile</a> </td> <td> address, address-city, address-postalcode, address-state, name </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#media">Media</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#medication">Medication</a> </td> <td> <a href="StructureDefinition-us-core-medication.html">US Core Medication Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#medicationdispense">MedicationDispense</a> </td> <td> <a href="StructureDefinition-us-core-medicationdispense.html">US Core MedicationDispense Profile</a> </td> <td> patient, status, type patient+status, patient+status+type </td> <td> MedicationDispense:medication </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#medicationrequest">MedicationRequest</a> </td> <td> <a href="StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a> </td> <td> authoredon, encounter, intent, patient, status patient+intent, patient+intent+authoredon, patient+intent+encounter, patient+intent+status </td> <td> MedicationRequest:medication </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#observation">Observation</a> </td> <td> <a href="StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a>, <a href="StructureDefinition-us-core-observation-pregnancystatus.html">US Core Observation Pregnancy Status Profile</a>, <a href="StructureDefinition-us-core-observation-pregnancyintent.html">US Core Observation Pregnancy Intent Profile</a>, <a href="StructureDefinition-us-core-observation-occupation.html">US Core Observation Occupation Profile</a>, <a href="StructureDefinition-us-core-respiratory-rate.html">US Core Respiratory Rate Profile</a>, <a href="StructureDefinition-us-core-simple-observation.html">US Core Simple Observation Profile</a>, <a href="StructureDefinition-us-core-treatment-intervention-preference.html">US Core Treatment Intervention Preference Profile</a>, <a href="StructureDefinition-us-core-care-experience-preference.html">US Core Care Experience Preference Profile</a>, <a href="StructureDefinition-us-core-heart-rate.html">US Core Heart Rate Profile</a>, <a href="StructureDefinition-us-core-body-temperature.html">US Core Body Temperature Profile</a>, <a href="StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a>, <a href="StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a>, <a href="StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status Observation Profile</a>, <a href="StructureDefinition-us-core-observation-sexual-orientation.html">US Core Observation Sexual Orientation Profile</a>, <a href="StructureDefinition-us-core-head-circumference.html">US Core Head Circumference Profile</a>, <a href="StructureDefinition-us-core-body-height.html">US Core Body Height Profile</a>, <a href="StructureDefinition-us-core-bmi.html">US Core BMI Profile</a>, <a href="StructureDefinition-us-core-observation-screening-assessment.html">US Core Observation Screening Assessment Profile</a>, <a href="StructureDefinition-us-core-average-blood-pressure.html">US Core Average Blood Pressure Profile</a>, <a href="StructureDefinition-us-core-blood-pressure.html">US Core Blood Pressure Profile</a>, <a href="StructureDefinition-us-core-observation-clinical-result.html">US Core Observation Clinical Result Profile</a>, <a href="StructureDefinition-pediatric-bmi-for-age.html">US Core Pediatric BMI for Age Observation Profile</a>, <a href="StructureDefinition-head-occipital-frontal-circumference-percentile.html">US Core Pediatric Head Occipital Frontal Circumference Percentile Profile</a>, <a href="StructureDefinition-us-core-body-weight.html">US Core Body Weight Profile</a>, <a href="StructureDefinition-us-core-vital-signs.html">US Core Vital Signs Profile</a> </td> <td> category, code, date, _lastUpdated, patient, status patient+code, patient+category+_lastUpdated, patient+category, patient+category+date, patient+code+date, patient+category+status </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#organization">Organization</a> </td> <td> <a href="StructureDefinition-us-core-organization.html">US Core Organization Profile</a> </td> <td> address, name </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#patient">Patient</a> </td> <td> <a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a> </td> <td> _id, birthdate, death-date, family, gender, given, identifier, name birthdate+family, gender+name, family+gender, death-date+family, birthdate+name </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#practitioner">Practitioner</a> </td> <td> <a href="StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a> </td> <td> _id, identifier, name </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#practitionerrole">PractitionerRole</a> </td> <td> <a href="StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a> </td> <td> practitioner, specialty </td> <td> PractitionerRole:endpoint, PractitionerRole:practitioner </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#procedure">Procedure</a> </td> <td> <a href="StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a> </td> <td> code, date, patient, status patient+status, patient+code+date, patient+date </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#provenance">Provenance</a> </td> <td> <a href="StructureDefinition-us-core-provenance.html">US Core Provenance Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#questionnaire">Questionnaire</a> </td> <td> <a href="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire">SDC Base Questionnaire Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#questionnaireresponse">QuestionnaireResponse</a> </td> <td> <a href="StructureDefinition-us-core-questionnaireresponse.html">US Core QuestionnaireResponse Profile</a> </td> <td> _id, authored, patient, questionnaire, status patient+status, patient+questionnaire, patient+authored </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#relatedperson">RelatedPerson</a> </td> <td> <a href="StructureDefinition-us-core-relatedperson.html">US Core RelatedPerson Profile</a> </td> <td> _id, name, patient patient+name </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#servicerequest">ServiceRequest</a> </td> <td> <a href="StructureDefinition-us-core-servicerequest.html">US Core ServiceRequest Profile</a> </td> <td> _id, authored, category, code, patient, status patient+category+authored, patient+code, patient+status, patient+code+authored, patient+category </td> <td> - </td> <td> Provenance:target </td> <td> - </td> </tr> <tr> <td> <a href="#specimen">Specimen</a> </td> <td> <a href="StructureDefinition-us-core-specimen.html">US Core Specimen Profile</a> </td> <td> _id, patient </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#valueset">ValueSet</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> expand </td> </tr> </tbody> </table> <h4 id="allergyintolerance" class="no_toc">AllergyIntolerance</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-allergyintolerance.html">US Core AllergyIntolerance Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a AllergyIntolerance resource using: <code class="highlighter-rouge">GET [base]/AllergyIntolerance/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/AllergyIntolerance?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-allergyintolerance-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-allergyintolerance-patient.html"> patient</a>+ <a href="SearchParameter-us-core-allergyintolerance-clinical-status.html"> clinical-status</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-allergyintolerance-clinical-status.html"> clinical-status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-allergyintolerance-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="careplan" class="no_toc">CarePlan</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Additional considerations for systems aligning with <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492">HL7 Consolidated (C-CDA)</a> Care Plan requirements: <ul> <li>US Core Goal <strong>SHOULD</strong> be present in CarePlan.goal</li> <li>US Core Condition <strong>SHOULD</strong> be present in CarePlan.addresses</li> <li>Assessment and Plan <strong>MAY</strong> be included as narrative text</li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a CarePlan resource using: <code class="highlighter-rouge">GET [base]/CarePlan/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/CarePlan?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-careplan-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careplan-category.html"> category</a>+ <a href="SearchParameter-us-core-careplan-status.html"> status</a>+ <a href="SearchParameter-us-core-careplan-date.html"> date</a> </td> <td>reference+token+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-careplan-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careplan-category.html"> category</a>+ <a href="SearchParameter-us-core-careplan-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-careplan-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careplan-category.html"> category</a>+ <a href="SearchParameter-us-core-careplan-status.html"> status</a> </td> <td>reference+token+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-careplan-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careplan-category.html"> category</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-careplan-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-careplan-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-careplan-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-careplan-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="careteam" class="no_toc">CareTeam</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>In order to access care team member's names, identifiers, locations, and contact information, the CareTeam profile supports several types of care team participants. They are represented as references to other profiles and include the following four profiles which are marked as must support: <ol> <li>US Core Practitioner Profile</li> <li>US Core PractitionerRole Profile</li> <li>US Core Patient Profile</li> <li>US Core RelatedPerson Profile</li> </ol> </li> <li>Although <em>both</em> US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references, but <strong>SHALL</strong> support <em>at least</em> one of them.</li> <li>The client application <strong>SHALL</strong> support all four profile references.</li> <li>Bacause the <em>US Core PractitionerRole Profile</em> supplies the provider's location and contact information and a reference to the Practitioner, server systems <strong>SHOULD</strong> reference it instead of the <em>US Core Practitioner Profile</em>.</li> <li>Servers that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile <strong>SHALL</strong> provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-careteam.html">US Core CareTeam Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a CareTeam resource using: <code class="highlighter-rouge">GET [base]/CareTeam/[id]</code> </li> <li> A Server <strong>SHOULD</strong> be capable of supporting the following _includes: <ul> <li> CareTeam:participant:PractitionerRole: <code class="highlighter-rouge">GET [base]/CareTeam?[parameter=value]&amp;_include=CareTeam:participant:PractitionerRole</code> </li> <li> CareTeam:participant:Practitioner: <code class="highlighter-rouge">GET [base]/CareTeam?[parameter=value]&amp;_include=CareTeam:participant:Practitioner</code> </li> <li> CareTeam:participant:Patient: <code class="highlighter-rouge">GET [base]/CareTeam?[parameter=value]&amp;_include=CareTeam:participant:Patient</code> </li> <li> CareTeam:participant:RelatedPerson: <code class="highlighter-rouge">GET [base]/CareTeam?[parameter=value]&amp;_include=CareTeam:participant:RelatedPerson</code> </li> </ul> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/CareTeam?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-careteam-role.html"> role</a> </td> <td> token </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-careteam-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careteam-role.html"> role</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-careteam-patient.html"> patient</a>+ <a href="SearchParameter-us-core-careteam-status.html"> status</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-careteam-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-careteam-role.html"> role</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-careteam-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="condition" class="no_toc">Condition</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>For Encounter Diagnosis use the <em>US Core Condition Encounter Diagnosis Profile</em>. <ul> <li>When <code>Condition.category</code> is &quot;encounter-diagnosis&quot; the encounter, <strong>SHOULD</strong> be referenced in <code>Condition.encounter</code>.</li> </ul> </li> <li>For Problems and Health Concerns use the <em>US Core Condition Problems and Health Concerns Profile</em>. <ul> <li>When <code>Condition.category</code> is a &quot;problems-list-item&quot;, the `Condition.clinicalStatus <strong>SHOULD NOT</strong> be unknown.</li> </ul> </li> <li>There is no single element in Condition that represents the date of diagnosis. It may be the assertedDate Extension, <code>Condition.onsetDateTime</code>, or <code>Condition.recordedDate</code>. <ul> <li>Although all three are marked as must support, the server is not required to support all.</li> <li>A server <strong>SHALL</strong> support <code>Condition.recordedDate</code>.</li> <li>A server <strong>SHALL</strong> support at least one of the assertedDate Extension and <code>Condition.onsetDateTime</code>. A server may support both, which means they support all three elements.</li> <li>The client application <strong>SHALL</strong> support all three elements.</li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-condition-encounter-diagnosis.html">US Core Condition Encounter Diagnosis Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-condition-problems-health-concerns.html">US Core Condition Problems and Health Concerns Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Condition resource using: <code class="highlighter-rouge">GET [base]/Condition/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Condition?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-recorded-date.html"> recorded-date</a> </td> <td>reference+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-asserted-date.html"> asserted-date</a> </td> <td>reference+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-code.html"> code</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-category.html"> category</a>+ <a href="SearchParameter-us-core-condition-clinical-status.html"> clinical-status</a> </td> <td>reference+token+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-onset-date.html"> onset-date</a> </td> <td>reference+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-category.html"> category</a>+ <a href="SearchParameter-us-core-condition-encounter.html"> encounter</a> </td> <td>reference+token+reference </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-lastupdated.html"> _lastUpdated</a> </td> <td>reference+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-clinical-status.html"> clinical-status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-category.html"> category</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-condition-patient.html"> patient</a>+ <a href="SearchParameter-us-core-condition-abatement-date.html"> abatement-date</a> </td> <td>reference+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-condition-abatement-date.html"> abatement-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-condition-asserted-date.html"> asserted-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-condition-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-condition-clinical-status.html"> clinical-status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-condition-code.html"> code</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-condition-encounter.html"> encounter</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-condition-onset-date.html"> onset-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-condition-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-condition-recorded-date.html"> recorded-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-condition-lastupdated.html"> _lastUpdated</a> (date):<p>A server <strong>SHALL</strong> document the types of changes that can be detected using this parameter.</p> <p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li> </ul> </div> <hr/> <h4 id="coverage" class="no_toc">Coverage</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-coverage.html">US Core Coverage Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Coverage resource using: <code class="highlighter-rouge">GET [base]/Coverage/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Coverage?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-coverage-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-coverage-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="device" class="no_toc">Device</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>Implantable medical devices that have UDI information <strong>SHALL</strong> represent the UDI code in <code>Device.udiCarrier.carrierHRF</code>.</p> <ul> <li>All of the five UDI-PI elements that are present in the UDI code <strong>SHALL</strong> be represented in the corresponding US Core Implantable Device Profile element.</li> </ul> <p>UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they <strong>SHOULD</strong> be included to support historical reports of implantable medical devices as follows:</p> <p>manufacturer -&gt; <code>Device.manufacturer</code><br/> model -&gt; <code>Device.model</code></p> </li> <li> <p>Servers <strong>SHOULD</strong> support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices.</p> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-implantable-device.html">US Core Implantable Device Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Device resource using: <code class="highlighter-rouge">GET [base]/Device/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Device?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-device-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-device-patient.html"> patient</a>+ <a href="SearchParameter-us-core-device-type.html"> type</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-device-patient.html"> patient</a>+ <a href="SearchParameter-us-core-device-status.html"> status</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-device-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-device-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-device-type.html"> type</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="diagnosticreport" class="no_toc">DiagnosticReport</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>When <code>DiagnosticReport.category</code> is &quot;LAB&quot; the encounter, Updates to Meta.lastUpdated <strong>SHOULD</strong> reflect: <ul> <li>New laboratory reports</li> <li>Changes in the status of laboratory reports including events that trigger the same status (e.g., amended → amended).</li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note exchange</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>create</code><sup>†</sup>, <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <blockquote>create<sup>†</sup><p>This conformance expectation applies <strong>only</strong> to the <em>US Core DiagnosticReport Profile for Report and Note exchange</em> profile. The conformance expectation for the <em>US Core DiagnosticReport Profile for Laboratory Results Reporting</em> is <strong>MAY</strong>.</p> </blockquote> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a DiagnosticReport resource using: <code class="highlighter-rouge">GET [base]/DiagnosticReport/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/DiagnosticReport?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-code.html"> code</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-category.html"> category</a>+ <a href="SearchParameter-us-core-diagnosticreport-lastupdated.html"> _lastUpdated</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-category.html"> category</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-category.html"> category</a>+ <a href="SearchParameter-us-core-diagnosticreport-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a>+ <a href="SearchParameter-us-core-diagnosticreport-code.html"> code</a>+ <a href="SearchParameter-us-core-diagnosticreport-date.html"> date</a> </td> <td>reference+token+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-diagnosticreport-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-diagnosticreport-code.html"> code</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-diagnosticreport-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-diagnosticreport-lastupdated.html"> _lastUpdated</a> (date):<p>A server <strong>SHALL</strong> document the types of changes that can be detected using this parameter.</p> <p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-diagnosticreport-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-diagnosticreport-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="documentreference" class="no_toc">DocumentReference</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>The <code>DocumentReference.type</code> binding <strong>SHALL</strong> support at a minimum the <a href="ValueSet-us-core-clinical-note-type.html">5 Common Clinical Notes</a> and may extend to the full US Core DocumentReference Type Value Set</li> <li>The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using <code>DocumentReference.attachment.url</code> or the content as inline base64 encoded data using <code>DocumentReference.attachment.data</code>. <ul> <li>Although both are marked as must support, the server system is not required to support an address, and inline base64 encoded data, but <strong>SHALL</strong> support at least one of these elements.</li> <li>The client application <strong>SHALL</strong> support both elements.</li> <li>The <code>content.url</code> may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint. <ul> <li>If the endpoint is outside the FHIR base URL, it <strong>SHOULD NOT</strong> require additional authorization to access.</li> </ul> </li> <li>If there are multiple <code>DocumentReference.content</code> element repetitions, these <strong>SHALL</strong> all represent the same document in different format or attachment metadata. The content element <strong>SHALL NOT</strong> contain different versions of the same content. For version handling use multiple DocumentReferences with <code>DocumentReference.relatesTo</code></li> </ul> </li> <li>Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference <strong>SHALL</strong> be present either in <code>DocumentReference.custodian</code> or accessible in the Provenance resource targeting the DocumentReference using <code>Provenance.agent.who</code> or <code>Provenance.agent.onBehalfOf</code>.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Operation Summary:</p> <ul> <li><strong>SHALL</strong> support the <a href="OperationDefinition-docref.html">$docref</a> operation <p>A server <strong>SHALL</strong> be capable of responding to a $docref operation and capable of returning at least a reference to a generated CCD document, if available. <strong>MAY</strong> provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD** provide references to any document that falls within the date range. If no date range is supplied, then the server <strong>SHALL</strong> provide references to last or current document(s). <strong>SHOULD</strong> document what resources, if any, are returned as included resources</p> <p><code>GET [base]/DocumentReference/$docref?patient=[id]</code></p> </li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a DocumentReference resource using: <code class="highlighter-rouge">GET [base]/DocumentReference/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/DocumentReference?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a>+ <a href="SearchParameter-us-core-documentreference-type.html"> type</a>+ <a href="SearchParameter-us-core-documentreference-period.html"> period</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a>+ <a href="SearchParameter-us-core-documentreference-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a>+ <a href="SearchParameter-us-core-documentreference-category.html"> category</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a>+ <a href="SearchParameter-us-core-documentreference-category.html"> category</a>+ <a href="SearchParameter-us-core-documentreference-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-documentreference-patient.html"> patient</a>+ <a href="SearchParameter-us-core-documentreference-type.html"> type</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-documentreference-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-documentreference-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-documentreference-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-documentreference-period.html"> period</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-documentreference-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-documentreference-type.html"> type</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="encounter" class="no_toc">Encounter</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>The Encounter resource can represent a reason using either a code with <code>Encounter.reasonCode</code>, or a reference with <code>Encounter.reasonReference</code> to Condition or other resource.</p> <ul> <li>Although both are marked as must support, the server systems are not required to support both a code and a reference, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li> <li>The client application <strong>SHALL</strong> support both elements.</li> <li>if <code>Encounter.reasonReference</code> references an Observation, it <strong>SHOULD</strong> conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)</li> </ul> </li> <li> <p>The location address can be represented by either by the Location referenced by <code>Encounter.location.location</code> or indirectly through the Organization referenced by <code>Encounter.serviceProvider</code>.</p> <ul> <li>Although both are marked as must support, the server systems are not required to support both <code>Encounter.location.location</code> and <code>Encounter.serviceProvider</code>, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li> <li>The client application <strong>SHALL</strong> support both elements.</li> </ul> </li> <li> <p>If the event facility/location differs from the <code>Encounter.location</code>, systems <strong>SHOULD</strong> reference it directly:</p> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Encounter resource using: <code class="highlighter-rouge">GET [base]/Encounter/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Encounter?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-encounter-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-identifier.html"> identifier</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a>+ <a href="SearchParameter-us-core-encounter-type.html"> type</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a>+ <a href="SearchParameter-us-core-encounter-location.html"> location</a> </td> <td>reference+reference </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-class.html"> class</a>+ <a href="SearchParameter-us-core-encounter-patient.html"> patient</a> </td> <td>token+reference </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a>+ <a href="SearchParameter-us-core-encounter-discharge-disposition.html"> discharge-disposition</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a>+ <a href="SearchParameter-us-core-encounter-lastupdated.html"> _lastUpdated</a> </td> <td>reference+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-encounter-patient.html"> patient</a>+ <a href="SearchParameter-us-core-encounter-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-encounter-date.html"> date</a>+ <a href="SearchParameter-us-core-encounter-patient.html"> patient</a> </td> <td>date+reference </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-encounter-class.html"> class</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-encounter-lastupdated.html"> _lastUpdated</a> (date):<p>A server <strong>SHALL</strong> document the types of changes that can be detected using this parameter.</p> <p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-encounter-discharge-disposition.html"> discharge-disposition</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-identifier.html"> identifier</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-location.html"> location</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-encounter-type.html"> type</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="endpoint" class="no_toc">Endpoint</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>The Media Resource is a Must Support referenced resource when using the US Core PractitionerRole Profile.</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a Endpoint resource using: <code class="highlighter-rouge">GET [base]/Endpoint/[id]</code> </li> </ul> <hr/> <h4 id="goal" class="no_toc">Goal</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Although both <code>Goal.startDate</code> and <code>Goal.target.dueDate</code> are marked as must support, the server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements. The client application <strong>SHALL</strong> support both elements.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-goal.html">US Core Goal Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Goal resource using: <code class="highlighter-rouge">GET [base]/Goal/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Goal?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-goal-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-goal-patient.html"> patient</a>+ <a href="SearchParameter-us-core-goal-lifecycle-status.html"> lifecycle-status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-goal-patient.html"> patient</a>+ <a href="SearchParameter-us-core-goal-description.html"> description</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-goal-patient.html"> patient</a>+ <a href="SearchParameter-us-core-goal-target-date.html"> target-date</a> </td> <td>reference+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-goal-lifecycle-status.html"> lifecycle-status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-goal-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-goal-target-date.html"> target-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p> <p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p> </li> </ul> </div> <hr/> <h4 id="healthcareservice" class="no_toc">HealthcareService</h4> <p>Conformance Expectation: <strong>MAY</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>The HealthcareService Resource is a referenced resource when using the US Core PracitionRole Profile and subject to constraint us-core-13: &quot;SHALL have a practitioner, an organization, a healthcare service, or a location.&quot;</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a HealthcareService resource using: <code class="highlighter-rouge">GET [base]/HealthcareService/[id]</code> </li> </ul> <hr/> <h4 id="immunization" class="no_toc">Immunization</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes <strong>SHOULD</strong> be supported as translations to them.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Immunization resource using: <code class="highlighter-rouge">GET [base]/Immunization/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Immunization?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-immunization-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-immunization-patient.html"> patient</a>+ <a href="SearchParameter-us-core-immunization-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-immunization-patient.html"> patient</a>+ <a href="SearchParameter-us-core-immunization-date.html"> date</a> </td> <td>reference+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-immunization-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-immunization-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-immunization-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="location" class="no_toc">Location</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Systems <strong>SHOULD</strong> follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for <code>Location.address.line</code> and <code>Location.address.city</code>.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-location.html">US Core Location Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Location resource using: <code class="highlighter-rouge">GET [base]/Location/[id]</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-location-address.html"> address</a> </td> <td> string </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-location-address-city.html"> address-city</a> </td> <td> string </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-location-address-postalcode.html"> address-postalcode</a> </td> <td> string </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-location-address-state.html"> address-state</a> </td> <td> string </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-location-name.html"> name</a> </td> <td> string </td> </tr> </tbody> </table> <hr/> <h4 id="media" class="no_toc">Media</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>The Media Resource is a Must Support referenced resource when using the US Core DiagnosticReport Profile for Report and Note Exchange.</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a Media resource using: <code class="highlighter-rouge">GET [base]/Media/[id]</code> </li> </ul> <hr/> <h4 id="medication" class="no_toc">Medication</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>The MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ <strong>SHALL</strong> be supported.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-medication.html">US Core Medication Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Medication resource using: <code class="highlighter-rouge">GET [base]/Medication/[id]</code> </li> </ul> <hr/> <h4 id="medicationdispense" class="no_toc">MedicationDispense</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include` parameter for searching this element. The client application must support all methods. <ul> <li>For example, A server <strong>SHALL</strong> be capable of returning dispense records for all medications for a patient using one of or both: <ul> <li><code>GET /MedicationDispense?patient=[id]</code></li> <li><code>GET /MedicationDispense?patient=[id]&amp;_include=MedicationDispense:medication</code></li> </ul> </li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-medicationdispense.html">US Core MedicationDispense Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a MedicationDispense resource using: <code class="highlighter-rouge">GET [base]/MedicationDispense/[id]</code> </li> <li> A Server <strong>SHOULD</strong> be capable of supporting the following _includes: <ul> <li> MedicationDispense:medication: <code class="highlighter-rouge">GET [base]/MedicationDispense?[parameter=value]&amp;_include=MedicationDispense:medication</code> </li> </ul> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/MedicationDispense?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-medicationdispense-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-medicationdispense-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationdispense-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-medicationdispense-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationdispense-status.html"> status</a>+ <a href="SearchParameter-us-core-medicationdispense-type.html"> type</a> </td> <td>reference+token+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-medicationdispense-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-medicationdispense-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-medicationdispense-type.html"> type</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="medicationrequest" class="no_toc">MedicationRequest</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include` parameter for searching this element. The client application must support all methods.</p> <ul> <li>For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both: <ul> <li><code>GET /MedicationRequest?patient=[id]</code></li> <li><code>GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication</code></li> </ul> </li> </ul> </li> <li> <p>The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in <code>MedicationRequest.reportedBoolean</code>, or a reference using <code>MedicationRequest.reportedReference</code> to Practitioner or other resource.</p> <ul> <li>Although both are marked as must support, the server systems are not required to support both a boolean and a reference, but <strong>SHALL</strong> choose to support at least one of these elements.</li> <li>The client application <strong>SHALL</strong> support both elements.</li> </ul> </li> <li> <p>When recording “self-prescribed” medication, requester <strong>SHOULD</strong> be used to indicate the Patient or RelatedPerson as the prescriber. (See the Medication List section for guidance on accessing a patient medications including over the counter (OTC) medication and other substances taken for medical and recreational use.)</p> </li> <li> <p>The MedicationRequest resource can communicate the reason or indication for treatment using either a code in MedicationRequest.reasonCode or a reference using MedicationRequest.reasonReference.</p> </li> <li> <p>Although both <code>MedicationRequest.reasonCode</code> and <code>MedicationRequest.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements.</p> <ul> <li>when using MedicationRequest.reasonReference: <ul> <li>Servers <strong>SHALL</strong> support at least one target resource in <code>MedicationRequest.reasonReference</code>. Clients <strong>SHALL</strong> support all target resources.</li> <li>The referenced resources <strong>SHOULD</strong> be a US Core Profile as documented in Referencing US Core Profiles.</li> </ul> </li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a MedicationRequest resource using: <code class="highlighter-rouge">GET [base]/MedicationRequest/[id]</code> </li> <li> A Server <strong>SHOULD</strong> be capable of supporting the following _includes: <ul> <li> MedicationRequest:medication: <code class="highlighter-rouge">GET [base]/MedicationRequest?[parameter=value]&amp;_include=MedicationRequest:medication</code> </li> </ul> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/MedicationRequest?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-medicationrequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationrequest-intent.html"> intent</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-medicationrequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationrequest-intent.html"> intent</a>+ <a href="SearchParameter-us-core-medicationrequest-authoredon.html"> authoredon</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-medicationrequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationrequest-intent.html"> intent</a>+ <a href="SearchParameter-us-core-medicationrequest-encounter.html"> encounter</a> </td> <td>reference+token+reference </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-medicationrequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-medicationrequest-intent.html"> intent</a>+ <a href="SearchParameter-us-core-medicationrequest-status.html"> status</a> </td> <td>reference+token+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-medicationrequest-authoredon.html"> authoredon</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-medicationrequest-encounter.html"> encounter</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-medicationrequest-intent.html"> intent</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-medicationrequest-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-medicationrequest-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="observation" class="no_toc">Observation</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Systems <strong>SHOULD</strong> support <code>Observation.effectivePeriod</code> to accurately represent tests that are collected over a period of time (for example, a 24-Hour Urine Collection test).</li> <li>An Observation without a value, <strong>SHALL</strong> include a reason why the data is absent unless there are component observations, or references to other Observations that are grouped within it <ul> <li>Systems that never provide an observation without a value are not required to support <code>Observation.dataAbsentReason</code></li> </ul> </li> <li>An <code>Observation.component</code> without a value, <strong>SHALL</strong> include a reason why the data is absent. <ul> <li>Systems that never provide an component observation without a component value are not required to support <code>Observation.component.dataAbsentReason</code>.</li> </ul> </li> <li>When <code>Observation.category</code> is &quot;laboratory&quot; the encounter, Updates to Meta.lastUpdated <strong>SHOULD</strong> reflect: <ul> <li>New laboratory results</li> <li>Changes in the status of laboratory results including events that trigger the same status (e.g., amended → amended).</li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-pregnancystatus.html">US Core Observation Pregnancy Status Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-pregnancyintent.html">US Core Observation Pregnancy Intent Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-occupation.html">US Core Observation Occupation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-respiratory-rate.html">US Core Respiratory Rate Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-simple-observation.html">US Core Simple Observation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-treatment-intervention-preference.html">US Core Treatment Intervention Preference Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-care-experience-preference.html">US Core Care Experience Preference Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-heart-rate.html">US Core Heart Rate Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-body-temperature.html">US Core Body Temperature Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status Observation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-sexual-orientation.html">US Core Observation Sexual Orientation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-head-circumference.html">US Core Head Circumference Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-body-height.html">US Core Body Height Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-bmi.html">US Core BMI Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-screening-assessment.html">US Core Observation Screening Assessment Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-average-blood-pressure.html">US Core Average Blood Pressure Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-blood-pressure.html">US Core Blood Pressure Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-observation-clinical-result.html">US Core Observation Clinical Result Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-pediatric-bmi-for-age.html">US Core Pediatric BMI for Age Observation Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-head-occipital-frontal-circumference-percentile.html">US Core Pediatric Head Occipital Frontal Circumference Percentile Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-body-weight.html">US Core Body Weight Profile</a> </li> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-vital-signs.html">US Core Vital Signs Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Observation resource using: <code class="highlighter-rouge">GET [base]/Observation/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Observation?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-code.html"> code</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-category.html"> category</a>+ <a href="SearchParameter-us-core-observation-lastupdated.html"> _lastUpdated</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-category.html"> category</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-category.html"> category</a>+ <a href="SearchParameter-us-core-observation-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-code.html"> code</a>+ <a href="SearchParameter-us-core-observation-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-observation-patient.html"> patient</a>+ <a href="SearchParameter-us-core-observation-category.html"> category</a>+ <a href="SearchParameter-us-core-observation-status.html"> status</a> </td> <td>reference+token+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-observation-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-observation-code.html"> code</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-observation-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-observation-lastupdated.html"> _lastUpdated</a> (date):<p>A server <strong>SHALL</strong> document the types of changes that can be detected using this parameter.</p> <p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-observation-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-observation-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="organization" class="no_toc">Organization</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Systems <strong>SHALL</strong> support National Provider Identifier (NPI) for organizations and <strong>SHOULD</strong> support Clinical Laboratory Improvement Amendments (CLIA) identifiers for <code>Organization.Identifier</code>.</li> <li>Systems <strong>SHOULD</strong> follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for <code>Organization.address.line</code> and <code>Organization.address.city</code>.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-organization.html">US Core Organization Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Organization resource using: <code class="highlighter-rouge">GET [base]/Organization/[id]</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-organization-address.html"> address</a> </td> <td> string </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-organization-name.html"> name</a> </td> <td> string </td> </tr> </tbody> </table> <hr/> <h4 id="patient" class="no_toc">Patient</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>For ONC's USCDI requirements, each Patient must support the following additional elements. These elements are included in the formal definition of the profile. The patient examples include all of these elements.</p> <ol> <li>contact detail (e.g. a telephone number or an email address)</li> <li>a communication language</li> <li>a race</li> <li>an ethnicity</li> <li>a birth sex*</li> <li>previous name <ul> <li>Previous name is represented by providing an end date in the <code>Patient.name.period</code> element for a previous name.</li> </ul> </li> <li>suffix <ul> <li>Suffix is represented using the <code>Patient.name.suffix</code> element.</li> </ul> </li> </ol> </li> <li> <p>The Patient's Social Security Numbers <strong>SHOULD NOT</strong> be used as a patient identifier in <code>Patient.identifier.value</code>.</p> </li> <li> <p>Although Patient.deceased[x] is marked as &#x1D5D4;&#x1D5D7;&#x1D5D7;&#x1D5DC;&#x1D5E7;&#x1D5DC;&#x1D5E2;&#x1D5E1;&#x1D5D4;&#x1D5DF; &#x1D5E8;&#x1D5E6;&#x1D5D6;&#x1D5D7;&#x1D5DC;, certifying systems are not required to support both choices, but <strong>SHALL</strong> support at least <code>Patient.deceasedDateTime</code>.</p> </li> <li> <p>Certifying systems <strong>SHALL</strong> and non-certifying systems <strong>SHOULD</strong> follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for <code>Patient.address.line</code> and <code>Patient.address.city</code> for new and updated records.</p> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Patient resource using: <code class="highlighter-rouge">GET [base]/Patient/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Patient?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-patient-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-patient-identifier.html"> identifier</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-patient-name.html"> name</a> </td> <td> string </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-patient-birthdate.html"> birthdate</a>+ <a href="SearchParameter-us-core-patient-family.html"> family</a> </td> <td>date+string </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-patient-gender.html"> gender</a>+ <a href="SearchParameter-us-core-patient-name.html"> name</a> </td> <td>token+string </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-patient-family.html"> family</a>+ <a href="SearchParameter-us-core-patient-gender.html"> gender</a> </td> <td>string+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-patient-death-date.html"> death-date</a>+ <a href="SearchParameter-us-core-patient-family.html"> family</a> </td> <td>date+string </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-patient-birthdate.html"> birthdate</a>+ <a href="SearchParameter-us-core-patient-name.html"> name</a> </td> <td>date+string </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-patient-birthdate.html"> birthdate</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p> <p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p> </li><li><a href="SearchParameter-us-core-patient-death-date.html"> death-date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p> <p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p> </li><li><a href="SearchParameter-us-core-patient-family.html"> family</a> (string):<p>A server <strong>SHALL</strong> support a value precise to the <em>day</em>.</p> </li><li><a href="SearchParameter-us-core-patient-gender.html"> gender</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-patient-identifier.html"> identifier</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="practitioner" class="no_toc">Practitioner</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Servers that support only US Core Practitioner Profile <strong>SHALL</strong> provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource. <ul> <li>Although Practitioner.address is marked as Must Support, the server system is not required to support it if they support the US Core PractitionerRole Profile, but <strong>SHALL</strong> support it if they do not support the US Core PractitionerRole Profile. The client application <strong>SHALL</strong> support both.</li> </ul> </li> <li>Systems <strong>SHOULD</strong> follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for <code>Practitioner.address.line</code> and <code>Practitioner.address.city</code>.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Practitioner resource using: <code class="highlighter-rouge">GET [base]/Practitioner/[id]</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-practitioner-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-practitioner-identifier.html"> identifier</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-practitioner-name.html"> name</a> </td> <td> string </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-practitioner-identifier.html"> identifier</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="practitionerrole" class="no_toc">PractitionerRole</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Due to implementer feedback, some US Core Profiles reference the PractitionerRole resource instead of the US Core PractitionerRole Profile. However the US Core PractitionerRole Profile <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a PractitionerRole resource using: <code class="highlighter-rouge">GET [base]/PractitionerRole/[id]</code> </li> <li> A Server <strong>SHOULD</strong> be capable of supporting the following _includes: <ul> <li> PractitionerRole:endpoint: <code class="highlighter-rouge">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:endpoint</code> </li> <li> PractitionerRole:practitioner: <code class="highlighter-rouge">GET [base]/PractitionerRole?[parameter=value]&amp;_include=PractitionerRole:practitioner</code> </li> </ul> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-practitionerrole-practitioner.html"> practitioner</a> </td> <td> reference </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-practitionerrole-specialty.html"> specialty</a> </td> <td> token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-practitionerrole-practitioner.html"> practitioner</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-practitionerrole-specialty.html"> specialty</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="procedure" class="no_toc">Procedure</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC. <ul> <li>Only LOINC concepts that reflect actual procedures <strong>SHOULD</strong> be used</li> </ul> </li> <li>A procedure including an implantable device <strong>SHOULD</strong> use <code>Procedure.focalDevice</code> with a reference to the <em>US Core Implantable Device Profile</em>.</li> <li>Servers and Clients <strong>SHALL</strong> support both US Core ServiceRequest and US Core Procedure Profiles for communicating the reason or justification for a referral as Additional USCDI Requirements. Typically, the reason or justification for a referral or consultation is communicated through <code>Procedure.basedOn</code> linking the Procedure to the US Core ServiceRequest Profile that includes either <code>ServiceRequest.reasonCode</code> or <code>ServiceRequest.reasonReference</code>. When the Procedure does not have an associated ServiceRequest, it is communicated through the US Core Procedure Profile's <code>Procedure.reasonCode</code> or <code>Procedure.reasonReference</code>. Depending on the procedure being documented, a server will select the appropriate Profile to use. <ul> <li>Although both <code>Procedure.reasonCode</code> and <code>Procedure.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements. <ul> <li>when using <code>Procedure.reasonReference</code>: <ul> <li>Servers <strong>SHALL</strong> support <em>at least one</em> target resource in <code>Procedure.reasonReference</code>. Clients <strong>SHALL</strong> support all target resources .</li> <li>The referenced resources <strong>SHOULD</strong> be a US Core Profile.</li> </ul> </li> </ul> </li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Procedure resource using: <code class="highlighter-rouge">GET [base]/Procedure/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/Procedure?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-procedure-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-procedure-patient.html"> patient</a>+ <a href="SearchParameter-us-core-procedure-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-procedure-patient.html"> patient</a>+ <a href="SearchParameter-us-core-procedure-code.html"> code</a>+ <a href="SearchParameter-us-core-procedure-date.html"> date</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-procedure-patient.html"> patient</a>+ <a href="SearchParameter-us-core-procedure-date.html"> date</a> </td> <td>reference+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-procedure-code.html"> code</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-procedure-date.html"> date</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-procedure-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-procedure-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="provenance" class="no_toc">Provenance</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>The US Core Provenance resource <strong>SHALL</strong> be supported for these US Core resources: <ul> <li>AllergyIntolerance</li> <li>CarePlan</li> <li>CareTeam</li> <li>Condition</li> <li>Coverage</li> <li>Device</li> <li>DiagnosticReport</li> <li>DocumentReference</li> <li>Encounter</li> <li>Goal</li> <li>Immunization</li> <li>MedicationDispense</li> <li>MedicationRequest</li> <li>Observation</li> <li>Patient</li> <li>Procedure</li> <li>QuestionnaireResponse</li> <li>RelatedPerson</li> <li>ServiceRequest</li> </ul> </li> <li>If a system receives a provider in <code>Provenance.agent.who</code> as free text they must capture who sent them the information as the organization. On request they <strong>SHALL</strong> provide this organization as the source and <strong>MAY</strong> include the free text provider.</li> <li>Systems that need to know the activity has occurred <strong>SHOULD</strong> populate the activity.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-provenance.html">US Core Provenance Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Provenance resource using: <code class="highlighter-rouge">GET [base]/Provenance/[id]</code> </li> </ul> <hr/> <h4 id="questionnaire" class="no_toc">Questionnaire</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>US Core defines two ways to represent the questions and responses to screening and assessment instruments:</p> <ul> <li>Observation: US Core Observation Screening Assessment Profile</li> <li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li> </ul> </li> <li> <p>US Core Servers <strong>SHALL</strong> support US Core Observation Screening Assessment Profile and <strong>SHOULD</strong> support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile</p> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire">SDC Base Questionnaire Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a Questionnaire resource using: <code class="highlighter-rouge">GET [base]/Questionnaire/[id]</code> </li> </ul> <hr/> <h4 id="questionnaireresponse" class="no_toc">QuestionnaireResponse</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>US Core defines two ways to represent the questions and responses to screening and assessment instruments:</p> <ul> <li>Observation: US Core Observation Screening Assessment Profile</li> <li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li> </ul> </li> <li> <p>US Core Servers <strong>SHALL</strong> support US Core Observation Screening Assessment Profile and <strong>SHOULD</strong> support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile</p> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-questionnaireresponse.html">US Core QuestionnaireResponse Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a QuestionnaireResponse resource using: <code class="highlighter-rouge">GET [base]/QuestionnaireResponse/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/QuestionnaireResponse?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-questionnaireresponse-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-questionnaireresponse-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-questionnaireresponse-patient.html"> patient</a>+ <a href="SearchParameter-us-core-questionnaireresponse-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-questionnaireresponse-patient.html"> patient</a>+ <a href="SearchParameter-us-core-questionnaireresponse-questionnaire.html"> questionnaire</a> </td> <td>reference+reference </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-questionnaireresponse-patient.html"> patient</a>+ <a href="SearchParameter-us-core-questionnaireresponse-authored.html"> authored</a> </td> <td>reference+date </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-questionnaireresponse-authored.html"> authored</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-questionnaireresponse-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-questionnaireresponse-questionnaire.html"> questionnaire</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-questionnaireresponse-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="relatedperson" class="no_toc">RelatedPerson</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Systems <strong>SHOULD</strong> follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for <code>RelatedPerson.address.line</code> and <code>RelatedPerson.address.city</code>.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-relatedperson.html">US Core RelatedPerson Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a RelatedPerson resource using: <code class="highlighter-rouge">GET [base]/RelatedPerson/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/RelatedPerson?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-relatedperson-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-relatedperson-name.html"> name</a> </td> <td> string </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-relatedperson-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-relatedperson-patient.html"> patient</a>+ <a href="SearchParameter-us-core-relatedperson-name.html"> name</a> </td> <td>reference+string </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-relatedperson-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="servicerequest" class="no_toc">ServiceRequest</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li> <p>The Must Support <code>ServiceRequest.category</code> is bound, <em>at a minimum</em>, to the [US Core ServiceRequest Category Codes], and other category codes can be used. API consumers can query by category when accessing patient information. For the USCDI <em>Laboratory Order</em>, <em>Imaging Order</em>, <em>Clinical Test Order</em>, and <em>Procedure Order</em> Data Elements, implementers <strong>SHOULD</strong> use the corresponding category codes listed in the table below. For example, laboratory orders would have the category code &quot;108252007&quot; (Laboratory procedure).</p> <p>|USCDI Order Data Element|Category Codes| |---|---| |Laboratory Order| 108252007 Laboratory procedure (procedure)| |Imaging Order|363679005 Imaging (procedure)| |Clinical Test Order|386053000 Evaluation procedure (procedure), 410606002 Social service procedure (procedure), or 387713003 Surgical procedure (procedure)| |Procedure Order|386053000 Evaluation procedure (procedure), 410606002 Social service procedure (procedure), or 387713003 Surgical procedure (procedure)|</p> </li> <li> <p>The <code>ServiceRequest.code</code> value set is broad to accommodate a wide variety of use cases and <strong>SHOULD</strong> be constrained to a subset for a particular use case or domain. These value sets contain concepts that span many use cases and are not bound to any USCDI Data Element. However, the table below identifies <em>additional</em> value set bindings for the USCDI <em>Laboratory Order, Imaging Order and Clinical Test Order</em> Data Elements. Implementers <strong>SHOULD</strong> conform to the binding strengths listed for each USCDI Order context. For example, laboratory orders are extensibly bound to the LOINC Common Laboratory Orders Value Set. Note that the USCDI Class <em>Procedure Order</em> Data Element has no additional binding.</p> <p>|USCDI Order Data Element|Additional Binding|Binding Strength|Comments| |---|---|---|---| |Laboratory Order|LOINC Common Laboratory Orders Value Set|extensible|The LOINC Common Laboratory Orders Value Set is a &quot;starter set&quot; for mapping commonly used laboratory orders. It does not attempt to include all possible laboratory order codes. For additional information on LOINC Common Laboratory Orders Value Set, refer to www.loinc.org/usage/orders.| |Imaging Order|LOINC Radiology Codes|preferred|The LOINC Radiology Codes include all imaging codes minus concepts that are deprecated or discouraged.| |Clinical Test Order|LOINC Clinical Test Codes|example|LOINC Clinical Test Codes include all non-laboratory and non-imaging clinical test codes|</p> </li> <li> <p>*Servers and Clients <strong>SHALL</strong> support both US Core ServiceRequest and US Core Procedure Profiles for communicating the reason or justification for a referral as Additional USCDI Requirements. Typically, the reason or justification for a referral or consultation is communicated through <code>Procedure.basedOn</code> linking the Procedure to the US Core ServiceRequest Profile that includes either <code>ServiceRequest.reasonCode</code> or <code>ServiceRequest.reasonReference</code>. When the Procedure does not have an associated ServiceRequest, it is communicated through the US Core Procedure Profile's <code>Procedure.reasonCode</code> or <code>Procedure.reasonReference</code>. Depending on the procedure being documented, a server will select the appropriate Profile to use.</p> <ul> <li>Although both <code>ServiceRequest.reasonCode</code> and <code>ServiceRequest.reasonReference</code> are marked as Additional USCDI Requirements, the certifying server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements. <ul> <li>when using <code>ServiceRequest.reasonReference</code>: <ul> <li>Servers <strong>SHALL</strong> support <em>at least one</em> target resource in <code>ServiceRequest.reasonReference</code>. Clients <strong>SHALL</strong> support all target resources.</li> <li>The referenced resources <strong>SHOULD</strong> be a US Core Profile as documented in [Referencing US Core Profiles].</li> </ul> </li> </ul> </li> </ul> </li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-servicerequest.html">US Core ServiceRequest Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a ServiceRequest resource using: <code class="highlighter-rouge">GET [base]/ServiceRequest/[id]</code> </li> <li> A Server <strong>SHALL</strong> be capable of supporting the following _revincludes: Provenance:target - <code class="highlighter-rouge">GET [base]/ServiceRequest?[parameter=value]&amp;_revinclude=Provenance:target</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <p>Search Parameter Combination Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter Combination</th> <th>Types</th> </tr> </thead> <tbody> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-servicerequest-category.html"> category</a>+ <a href="SearchParameter-us-core-servicerequest-authored.html"> authored</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-servicerequest-code.html"> code</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-servicerequest-status.html"> status</a> </td> <td>reference+token </td> </tr> <tr> <td><strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-servicerequest-code.html"> code</a>+ <a href="SearchParameter-us-core-servicerequest-authored.html"> authored</a> </td> <td>reference+token+date </td> </tr> <tr> <td><strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a>+ <a href="SearchParameter-us-core-servicerequest-category.html"> category</a> </td> <td>reference+token </td> </tr> </tbody> </table> <div> <p>Search Parameter Requirements (When Used Alone or in Combination):</p> <ul><li><a href="SearchParameter-us-core-servicerequest-authored.html"> authored</a> (date):<p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p> <p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p> </li><li><a href="SearchParameter-us-core-servicerequest-category.html"> category</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-servicerequest-code.html"> code</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-servicerequest-patient.html"> patient</a> (reference):<p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li><li><a href="SearchParameter-us-core-servicerequest-status.html"> status</a> (token):<p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p> <p>The server <strong>SHALL</strong> support both.</p> </li> </ul> </div> <hr/> <h4 id="specimen" class="no_toc">Specimen</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><ul> <li>Although both <code>Specimen.identifier</code> and <code>Specimen.accessionIdentifier</code> are marked as Must Support, the server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements. The client application <strong>SHALL</strong> support both.</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="StructureDefinition-us-core-specimen.html">US Core Specimen Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHALL</strong> be capable of returning a Specimen resource using: <code class="highlighter-rouge">GET [base]/Specimen/[id]</code> </li> </ul> <p>Search Parameter Summary:</p> <table class="grid"> <thead> <tr> <th>Conformance</th> <th>Parameter</th> <th>Type</th> </tr> </thead> <tbody><tr> <td> <strong>SHALL</strong> </td> <td> <a href="SearchParameter-us-core-specimen-id.html"> _id</a> </td> <td> token </td> </tr><tr> <td> <strong>SHOULD</strong> </td> <td> <a href="SearchParameter-us-core-specimen-patient.html"> patient</a> </td> <td> reference </td> </tr> </tbody> </table> <hr/> <h4 id="valueset" class="no_toc">ValueSet</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Operation Summary:</p> <ul> <li><strong>SHOULD</strong> support the <a href="http://hl7.org/fhir/OperationDefinition/ValueSet-expand">$expand</a> operation <p>If a server supports DocumentReference for creating, using, and sharing clinical notes, it <strong>SHOULD</strong> also support the <code>context</code> and <code>contextdirection</code> parameters of the $expand operation to enable clients to determine the supported note and report types, as well as the supported read/write formats for notes on the server.</p> </li> </ul> <hr/> </div>
  </text>
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  <url
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  <version value="8.0.0-ballot"/>
  <name value="UsCoreServerCapabilityStatement"/>
  <title value="US Core Server CapabilityStatement"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-11-17T21:50:05.603817-08:00"/>
  <publisher value="HL7 International / Cross-Group Projects"/>
  <contact>
    <name value="HL7 International / Cross-Group Projects"/>
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      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cgp"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="cgp@lists.HL7.org"/>
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  <description
               value="This Section describes the expected capabilities of the US Core Server actor which is responsible for providing responses to the queries submitted by the US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and the ONC [U.S. Core Data for Interoperability (USCDI) Version 5 July 2024](https://www.healthit.gov/isp/sites/isp/files/2024-07/USCDI-Version-5-July-2024-Final.pdf)."/>
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    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
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  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <kind value="requirements"/>
  <fhirVersion value="4.0.1"/>
  <format value="json">
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                   value="The US Core Server **SHALL**:

1. Support the US Core Patient resource profile AND at least one additional resource profile from the list of US Core Profiles AND and all *Must Support* US Core Profiles and resources it references.
     -  A summary table listing all the *Must Support* references to other US Core Profiles and FHIR resources for each US Core Profile is located in the [Must Support - Resource References](must-support.html#must-support---resource-references) section of the guide.
1. Follow the requirements documented in the [General Requirements](general-requirements.html) and [Must Support](must-support.html) pages
1. Return the following response classes:
   - (Status 400): invalid parameter
   - (Status 401/4xx): unauthorized request
   - (Status 403): insufficient scopes
   - (Status 404): unknown resource
1. Support JSON source formats for all US Core interactions.

The US Core Server **SHOULD**:

1. Follow the guidance documented in the [General Guidance](general-guidance.html) page
1. Support XML source formats for all US Core interactions.
1. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.


**NOTE**: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations. They specify additional expectations for the following SearchParameter elements:
 
- `multipleAnd`
- `multipleOr`
- `comparator`
- `modifier`
- `chain`

For search operations, Servers  **SHOULD** use the standard FHIR SearchParameters."/>
    <security>
      <description
                   value="1. See the [General Security Considerations](security.html) section for requirements and recommendations.
1. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` &quot;Unauthorized&quot;, `HTTP 403` &quot;Forbidden&quot;, or `HTTP 404` &quot;Not Found&quot;"/>
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="clinical-status"/>
        </extension>
      </extension>
      <type value="AllergyIntolerance"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|8.0.0-ballot">🔗 
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      <interaction>
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The server **SHALL** support both."/>
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The server **SHALL** support both."/>
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        <extension url="required">
          <valueString value="category"/>
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        <extension url="required">
          <valueString value="status"/>
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        <extension url="required">
          <valueString value="date"/>
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      </extension>
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
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        <extension url="required">
          <valueString value="date"/>
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        <extension
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="category"/>
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        <extension url="required">
          <valueString value="status"/>
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      <extension
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="category"/>
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      </extension>
      <type value="CarePlan"/>
      <supportedProfile
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    - US Core Goal **SHOULD** be present in CarePlan.goal
    - US Core Condition **SHOULD** be present in CarePlan.addresses
    - Assessment and Plan **MAY** be included as narrative text"/>
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="role"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="CareTeam"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* In order to access care team member's names, identifiers, locations, and contact information, the CareTeam profile supports several types of care team participants. They are represented as references to other profiles and include the following four profiles which are marked as must support:
  1. US Core Practitioner Profile
  1. US Core PractitionerRole Profile
  1. US Core Patient Profile
  1. US Core RelatedPerson Profile
* Although *both* US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references, but **SHALL** support *at least* one of them.
* The client application **SHALL** support all four profile references.
* Bacause the *US Core PractitionerRole Profile* supplies the provider's location and contact information and a reference to the Practitioner, server systems **SHOULD** reference it instead of the *US Core Practitioner Profile*.
* Servers that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL** provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchInclude value="CareTeam:participant:PractitionerRole">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="CareTeam:participant:Practitioner">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="CareTeam:participant:Patient">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="CareTeam:participant:RelatedPerson">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="role"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-role"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="recorded-date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="asserted-date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="clinical-status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="onset-date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="encounter"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="_lastUpdated"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="clinical-status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="abatement-date"/>
        </extension>
      </extension>
      <type value="Condition"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* For Encounter Diagnosis use the *US Core Condition Encounter Diagnosis Profile*.
    * When `Condition.category` is &quot;encounter-diagnosis&quot; the encounter, **SHOULD** be referenced in `Condition.encounter`.
* For Problems and Health Concerns use the *US Core Condition Problems and Health Concerns Profile*.
    * When `Condition.category` is a &quot;problems-list-item&quot;, the `Condition.clinicalStatus **SHOULD NOT** be unknown.
* There is no single element in Condition that represents the date of diagnosis. It may be the assertedDate Extension, `Condition.onsetDateTime`, or `Condition.recordedDate`.
    * Although all three are marked as must support, the server is not required to support all.
	* A server **SHALL** support `Condition.recordedDate`.
    * A server **SHALL** support at least one of the assertedDate Extension and `Condition.onsetDateTime`. A server may support both, which means they support all three elements.
    * The client application **SHALL** support all three elements."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="abatement-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-abatement-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="asserted-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-asserted-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="clinical-status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-clinical-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="encounter"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-encounter"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="onset-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-onset-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="recorded-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-recorded-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-lastupdated"/>
        <type value="date"/>
        <documentation
                       value="A server **SHALL** document the types of changes that can be detected using this parameter.

A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Coverage"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-coverage-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="Device"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Implantable medical devices that have UDI information **SHALL** represent the UDI code in `Device.udiCarrier.carrierHRF`.
   - All of the five UDI-PI elements that are present in the UDI code **SHALL** be represented in the corresponding US Core Implantable Device Profile element.
   
   UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they **SHOULD** be included to support historical reports of implantable medical devices as follows:

   manufacturer -&gt; `Device.manufacturer`  
   model -&gt; `Device.model`  

* Servers **SHOULD** support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-device-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-device-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="_lastUpdated"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <type value="DiagnosticReport"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* When `DiagnosticReport.category` is &quot;LAB&quot; the encounter, Updates to Meta.lastUpdated **SHOULD** reflect:
    * New laboratory reports
     * Changes in the status of laboratory reports including events that trigger the same status (e.g., amended → amended)."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="create"/>
        <documentation
                       value="This conformance expectation applies **only**  to the *US Core DiagnosticReport Profile for Report and Note exchange* profile.  The conformance expectation for the *US Core DiagnosticReport Profile for Laboratory Results Reporting* is  **MAY**."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-lastupdated"/>
        <type value="date"/>
        <documentation
                       value="A server **SHALL** document the types of changes that can be detected using this parameter.

A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
        <extension url="required">
          <valueString value="period"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <type value="DocumentReference"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The `DocumentReference.type` binding **SHALL** support at a minimum the [5 Common Clinical Notes](ValueSet-us-core-clinical-note-type.html) and may extend to the full US Core DocumentReference Type Value Set
* The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using `DocumentReference.attachment.url` or the content as inline base64 encoded data using `DocumentReference.attachment.data`.
    *  Although both are marked as must support, the server system is not required to support an address, and inline base64 encoded data, but **SHALL** support at least one of these elements.
    *  The client application **SHALL** support both elements.
    *  The `content.url` may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.
        * If the endpoint is outside the FHIR base URL, it **SHOULD NOT** require additional authorization to access.
   * If there are multiple `DocumentReference.content` element repetitions, these **SHALL** all represent the same document in different format or attachment metadata. The content element **SHALL NOT** contain different versions of the same content. For version handling use multiple DocumentReferences with `DocumentReference.relatesTo`
* Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference **SHALL** be present either in `DocumentReference.custodian` or accessible in the Provenance resource targeting the DocumentReference using `Provenance.agent.who` or `Provenance.agent.onBehalfOf`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="period"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <operation>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="docref"/>
        <definition
                    value="http://hl7.org/fhir/us/core/OperationDefinition/docref"/>
        <documentation
                       value="A server **SHALL** be capable of responding to a $docref operation and  capable of returning at least a reference to a generated CCD document, if available. **MAY** provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD**  provide references to any document that falls within the date range.  If no date range is supplied, then the server **SHALL** provide references to last or current document(s).  **SHOULD** document what resources, if any, are returned as included resources

`GET [base]/DocumentReference/$docref?patient=[id]`"/>
      </operation>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="location"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="class"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="discharge-disposition"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="_lastUpdated"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
      </extension>
      <type value="Encounter"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The Encounter resource can represent a reason using either a code with `Encounter.reasonCode`, or a reference with `Encounter.reasonReference` to  Condition or other resource.
   * Although both are marked as must support, the server systems are not required to support both a code and a reference, but they **SHALL** support *at least one* of these elements.
   * The client application **SHALL** support both elements.
   * if `Encounter.reasonReference` references an Observation, it **SHOULD** conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)

* The location address can be represented by either by the Location referenced by `Encounter.location.location` or indirectly through the Organization referenced by `Encounter.serviceProvider`.
   * Although both are marked as must support, the server systems are not required to support both `Encounter.location.location` and `Encounter.serviceProvider`, but they **SHALL** support *at least one* of these elements.
   * The client application **SHALL** support both elements.
* If the event facility/location differs from the `Encounter.location`, systems **SHOULD** reference it directly:
"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="class"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-class"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-lastupdated"/>
        <type value="date"/>
        <documentation
                       value="A server **SHALL** document the types of changes that can be detected using this parameter.

A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="discharge-disposition"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-discharge-disposition"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="location"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-location"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Endpoint"/>
      <documentation
                     value="The Media Resource is a Must Support referenced resource when using the US Core PractitionerRole Profile."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="lifecycle-status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="description"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="target-date"/>
        </extension>
      </extension>
      <type value="Goal"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Although both `Goal.startDate` and `Goal.target.dueDate` are marked as must support, the server system is not required to support both, but **SHALL** support at least one of these elements. The client application **SHALL** support both elements."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="description"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-description"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="lifecycle-status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-lifecycle-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="target-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <type value="HealthcareService"/>
      <documentation
                     value="The HealthcareService Resource is a referenced resource when using the US Core PracitionRole Profile and subject to constraint us-core-13: &quot;SHALL have a practitioner, an organization, a healthcare service, or a location.&quot;"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <type value="Immunization"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes **SHOULD** be supported as translations to them."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Location"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-location|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Systems **SHOULD** follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for `Location.address.line` and  `Location.address.city`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="address"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-city"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-city"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-postalcode"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-postalcode"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-state"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-state"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-name"/>
        <type value="string"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Media"/>
      <documentation
                     value="The Media Resource is a Must Support referenced resource when using the US Core DiagnosticReport Profile for Report and Note Exchange."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Medication"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The  MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ  **SHALL**  be supported."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <type value="MedicationDispense"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods.
  * For example, A server **SHALL** be capable of returning dispense records for all medications for a patient using one of or both:
     *  `GET /MedicationDispense?patient=[id]`
     *  `GET /MedicationDispense?patient=[id]&amp;_include=MedicationDispense:medication`
"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchInclude value="MedicationDispense:medication">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="authoredon"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="encounter"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="MedicationRequest"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods.
   * For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:
      *  `GET /MedicationRequest?patient=[id]`
      *  `GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication`

* The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in `MedicationRequest.reportedBoolean`, or a reference using `MedicationRequest.reportedReference` to Practitioner or other resource.
   *   Although both are marked as must support, the server systems are not required to support both a boolean and a reference, but **SHALL** choose to support at least one of these elements.
   *  The client application **SHALL** support both elements.

* When recording “self-prescribed” medication, requester **SHOULD** be used to indicate the Patient or RelatedPerson as the prescriber. (See the Medication List section for guidance on accessing a patient medications including over the counter (OTC) medication and other substances taken for medical and recreational use.)

* The MedicationRequest resource can communicate the reason or indication for treatment using either a code in MedicationRequest.reasonCode or a reference using MedicationRequest.reasonReference.

* Although both `MedicationRequest.reasonCode` and `MedicationRequest.reasonReference` are marked as Additional USCDI Requirements. The certifying server system is not required to support both but **SHALL** support at least one of these elements. The certifying client application **SHALL** support both elements.
   * when using MedicationRequest.reasonReference:
       * Servers **SHALL** support at least one target resource in `MedicationRequest.reasonReference`. Clients **SHALL** support all target resources.
      *  The referenced resources **SHOULD** be a US Core Profile as documented in Referencing US Core Profiles."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchInclude value="MedicationRequest:medication">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="authoredon"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-authoredon"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="encounter"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-encounter"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="intent"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-intent"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="_lastUpdated"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="Observation"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|8.0.0-ballot">🔗 
        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate|8.0.0-ballot">🔗 
        <extension
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          <valueCode value="SHALL"/>
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      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-care-experience-preference|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate|8.0.0-ballot">🔗 
        <extension
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          <valueCode value="SHALL"/>
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      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature|8.0.0-ballot">🔗 
        <extension
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          <valueCode value="SHALL"/>
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      <supportedProfile
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      </supportedProfile>
      <supportedProfile
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
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      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-average-blood-pressure|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Systems **SHOULD** support `Observation.effectivePeriod` to accurately represent tests that are collected over a period of time (for example, a 24-Hour Urine Collection test).
* An Observation without a value, **SHALL** include a reason why the data is absent unless there are component observations, or references to other Observations that are grouped within it
    * Systems that never provide an observation without a value are not required to support `Observation.dataAbsentReason`
*  An `Observation.component` without a value, **SHALL** include a reason why the data is absent.
    * Systems that never provide an component observation without a component value are not required to support `Observation.component.dataAbsentReason`.
* When `Observation.category` is &quot;laboratory&quot; the encounter, Updates to Meta.lastUpdated **SHOULD** reflect:
    * New laboratory results
     * Changes in the status of laboratory results including events that trigger the same status (e.g., amended → amended).


"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-lastupdated"/>
        <type value="date"/>
        <documentation
                       value="A server **SHALL** document the types of changes that can be detected using this parameter.

A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Organization"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Systems **SHALL** support National Provider Identifier (NPI) for organizations and **SHOULD** support Clinical Laboratory Improvement Amendments (CLIA) identifiers for `Organization.Identifier`.
* Systems **SHOULD** follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for `Organization.address.line` and  `Organization.address.city`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <code value="update"/>
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      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
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      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
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      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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        <name value="address"/>
        <definition
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        <type value="string"/>
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      <searchParam>
        <extension
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          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-name"/>
        <type value="string"/>
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    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="birthdate"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
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      </extension>
      <extension
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="gender"/>
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        <extension url="required">
          <valueString value="name"/>
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      </extension>
      <extension
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
        </extension>
        <extension url="required">
          <valueString value="gender"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="death-date"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
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      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="birthdate"/>
        </extension>
        <extension url="required">
          <valueString value="name"/>
        </extension>
      </extension>
      <type value="Patient"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* For ONC's USCDI requirements, each Patient must support the following additional elements. These elements are included in the formal definition of the profile. The patient examples include all of these elements.

  1. contact detail (e.g. a telephone number or an email address)
  1. a communication language
  1. a race
  1. an ethnicity
  1. a birth sex*
  1. previous name
     - Previous name is represented by providing an end date in the `Patient.name.period` element for a previous name.
  1. suffix
     - Suffix is represented using the `Patient.name.suffix` element.
* The Patient's Social Security Numbers **SHOULD NOT** be used as a patient identifier in `Patient.identifier.value`.
* Although Patient.deceased[x] is marked as 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜, certifying systems are not required to support both choices, but **SHALL** support at least `Patient.deceasedDateTime`.
* Certifying systems **SHALL** and non-certifying systems **SHOULD** follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for `Patient.address.line` and  `Patient.address.city` for new and updated records."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="birthdate"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="death-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-death-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="family"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family"/>
        <type value="string"/>
        <documentation
                       value="A server **SHALL** support a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="gender"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="given"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name"/>
        <type value="string"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Practitioner"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Servers that support only US Core Practitioner Profile **SHALL** provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.
   * Although Practitioner.address is marked as Must Support, the server system is not required to support it if they support the US Core PractitionerRole Profile, but **SHALL** support it if they do not support the US Core PractitionerRole Profile. The client application **SHALL** support both.
* Systems **SHOULD** follow the Project US@ Technical Specification for Patient Addresses Final Version 1.0 as the standard style guide for `Practitioner.address.line` and  `Practitioner.address.city`.
"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name"/>
        <type value="string"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="PractitionerRole"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Due to implementer feedback, some US Core Profiles reference the PractitionerRole resource instead of the US Core PractitionerRole Profile. However the US Core PractitionerRole Profile **SHOULD** be used as the default profile if referenced by another US Core profile."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchInclude value="PractitionerRole:endpoint">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="PractitionerRole:practitioner">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="practitioner"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="specialty"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <type value="Procedure"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.
  * Only LOINC concepts that reflect actual procedures **SHOULD** be used
* A procedure including an implantable device **SHOULD** use `Procedure.focalDevice` with a reference to the *US Core Implantable Device Profile*.
* Servers and Clients **SHALL** support both US Core ServiceRequest and US Core Procedure Profiles for communicating the reason or justification for a referral as Additional USCDI Requirements. Typically, the reason or justification for a referral or consultation is communicated through `Procedure.basedOn` linking the Procedure to the US Core ServiceRequest Profile that includes either `ServiceRequest.reasonCode` or `ServiceRequest.reasonReference`. When the Procedure does not have an associated ServiceRequest, it is communicated through the US Core Procedure Profile's `Procedure.reasonCode` or `Procedure.reasonReference`.  Depending on the procedure being documented, a server will select the appropriate Profile to use.
   * Although both `Procedure.reasonCode` and `Procedure.reasonReference` are marked as Additional USCDI Requirements. The certifying server system is not required to support both but **SHALL** support at least one of these elements. The certifying client application **SHALL** support both elements.
      * when using  `Procedure.reasonReference`:
         * Servers **SHALL** support *at least one* target resource in `Procedure.reasonReference`. Clients **SHALL** support all target resources .
         * The referenced resources **SHOULD** be a US Core Profile."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Provenance"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The US Core Provenance resource **SHALL** be supported for these US Core resources:
    * AllergyIntolerance
    * CarePlan
    * CareTeam
    * Condition
    * Coverage
    * Device
    * DiagnosticReport
    * DocumentReference
    * Encounter
    * Goal
    * Immunization
    * MedicationDispense
    * MedicationRequest
    * Observation
    * Patient
    * Procedure
    * QuestionnaireResponse
    * RelatedPerson
    * ServiceRequest
* If a system receives a provider in `Provenance.agent.who` as free text they must capture who sent them the information as the organization. On request they **SHALL** provide this organization as the source and **MAY** include the free text provider.
* Systems that need to know the activity has occurred **SHOULD** populate the activity."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
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      <interaction>
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        <valueCode value="SHOULD"/>
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      <supportedProfile
                        value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire">🔗 
        <extension
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          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* US Core defines two ways to represent the questions and responses to screening and assessment instruments:

  - Observation: US Core Observation Screening Assessment Profile
  - Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile

* US Core Servers **SHALL** support US Core Observation Screening Assessment Profile and **SHOULD** support the  SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile"/>
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        <extension
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      <interaction>
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        <extension
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        <extension url="required">
          <valueString value="status"/>
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        <extension
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          <valueCode value="SHOULD"/>
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="questionnaire"/>
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="authored"/>
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      <type value="QuestionnaireResponse"/>
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                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|8.0.0-ballot">🔗 
        <extension
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          <valueCode value="SHALL"/>
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  - Observation: US Core Observation Screening Assessment Profile
  - Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile

* US Core Servers **SHALL** support US Core Observation Screening Assessment Profile and **SHOULD** support the  SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile"/>
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
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        <name value="_id"/>
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        <type value="token"/>
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        <extension
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          <valueCode value="MAY"/>
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        <name value="authored"/>
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A server **SHALL** support a value precise to the *second + time offset*."/>
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        <name value="patient"/>
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The server **SHALL** support both."/>
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The server **SHALL** support both."/>
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The server **SHALL** support both."/>
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
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        <extension url="required">
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        <extension url="required">
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      <type value="RelatedPerson"/>
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        <extension
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
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The server **SHALL** support both."/>
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        <extension
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="category"/>
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        <extension url="required">
          <valueString value="authored"/>
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      </extension>
      <extension
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        <extension
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        <extension url="required">
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        <extension url="required">
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        <extension
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          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
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      </extension>
      <type value="ServiceRequest"/>
      <supportedProfile
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                     value="- The Must Support `ServiceRequest.category` is bound, *at a minimum*, to the [US Core ServiceRequest Category Codes], and other category codes can be used. API consumers can query by category when accessing patient information. For the USCDI *Laboratory Order*, *Imaging Order*, *Clinical Test Order*, and *Procedure Order* Data Elements, implementers **SHOULD** use the corresponding category codes listed in the table below. For example, laboratory orders would have the category code &quot;108252007&quot; (Laboratory procedure).

  |USCDI Order Data Element|Category Codes|
  |---|---|
  |Laboratory Order| 108252007 Laboratory procedure (procedure)|
  |Imaging Order|363679005 Imaging (procedure)|
  |Clinical Test Order|386053000 Evaluation procedure (procedure), 410606002 Social service procedure (procedure), or 387713003 Surgical procedure (procedure)|
  |Procedure Order|386053000 Evaluation procedure (procedure), 410606002 Social service procedure (procedure), or 387713003 Surgical procedure (procedure)| 

- The `ServiceRequest.code` value set is broad to accommodate a wide variety of use cases and **SHOULD** be constrained to a subset for a particular use case or domain.  These value sets contain concepts that span many use cases and are not bound to any USCDI Data Element. However, the table below identifies *additional* value set bindings for the USCDI *Laboratory Order, Imaging Order and Clinical Test Order* Data Elements. Implementers **SHOULD** conform to the binding strengths listed for each USCDI Order context. For example, laboratory orders are extensibly bound to the LOINC Common Laboratory Orders Value Set. Note that the USCDI Class *Procedure Order* Data Element has no additional binding.

  |USCDI Order Data Element|Additional Binding|Binding Strength|Comments|
  |---|---|---|---|
  |Laboratory Order|LOINC Common Laboratory Orders Value Set|extensible|The LOINC Common Laboratory Orders Value Set is a &quot;starter set&quot; for mapping commonly used laboratory orders. It does not attempt to include all possible laboratory order codes. For additional information on LOINC Common Laboratory Orders Value Set, refer to www.loinc.org/usage/orders.|
  |Imaging Order|LOINC Radiology Codes|preferred|The LOINC Radiology Codes include all imaging codes minus concepts that are deprecated or discouraged.|
  |Clinical Test Order|LOINC Clinical Test Codes|example|LOINC Clinical Test Codes include all non-laboratory and non-imaging clinical test codes|

- *Servers and Clients **SHALL** support both US Core ServiceRequest and US Core Procedure Profiles for communicating the reason or justification for a referral as Additional USCDI Requirements. Typically, the reason or justification for a referral or consultation is communicated through `Procedure.basedOn` linking the Procedure to the US Core ServiceRequest Profile that includes either `ServiceRequest.reasonCode` or `ServiceRequest.reasonReference`. When the Procedure does not have an associated ServiceRequest, it is communicated through the US Core Procedure Profile's `Procedure.reasonCode` or `Procedure.reasonReference`. Depending on the procedure being documented, a server will select the appropriate Profile to use.
   - Although both `ServiceRequest.reasonCode` and `ServiceRequest.reasonReference` are marked as Additional USCDI Requirements, the certifying server system is not required to support both, but **SHALL** support at least one of these elements. The certifying client application **SHALL** support both elements.
     - when using  `ServiceRequest.reasonReference`:
       - Servers **SHALL** support *at least one* target resource in `ServiceRequest.reasonReference`. Clients **SHALL** support all target resources.
       - The referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles]."/>
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        <code value="create"/>
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      <interaction>
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        <extension
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A server **SHALL** support a value precise to the *second + time offset*."/>
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                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
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        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
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      <searchParam>
        <extension
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        <name value="patient"/>
        <definition
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        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
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      <searchParam>
        <extension
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          <valueCode value="MAY"/>
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        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Specimen"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|8.0.0-ballot">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Although both `Specimen.identifier` and `Specimen.accessionIdentifier` are marked as Must Support, the server system is not required to support both, but **SHALL** support at least one of these elements. The client application **SHALL** support both."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="create"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="update"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="delete"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-patient"/>
        <type value="reference"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHOULD"/>
      </extension>
      <type value="ValueSet"/>
      <operation>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="expand"/>
        <definition
                    value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"/>
        <documentation
                       value="If a server supports DocumentReference for creating, using, and sharing clinical notes, it **SHOULD** also support the `context` and `contextdirection` parameters of the $expand operation to enable clients to determine the supported note and report types, as well as the supported read/write formats for notes on the server."/>
      </operation>
    </resource>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="transaction"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="batch"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="search-system"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="history-system"/>
    </interaction>
  </rest>
</CapabilityStatement>