Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1

Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

## : Data Consumer Server CapabilityStatement - XML Representation

Page standards status: Trial-use | Maturity Level: 2

Raw xml | Download

    <CapabilityStatement xmlns="http://hl7.org/fhir">
      <id value="data-consumer-server"/>
      <text>
        <status value="additional"/>
        <div xmlns="http://www.w3.org/1999/xhtml"> <h3 id="should_igs" class="no_toc">SHOULD Support the Following Implementation Guides:</h3> <ul> <li><a href="http://hl7.org/fhir/us/core/STU3.1.1/index.html">HL7 FHIR® US Core Implementation Guide STU3 Release 3.1.1</a></li> </ul> <ul> <li><a href="http://hl7.org/fhir/us/core/STU6.1/index.html">HL7 FHIR® US Core Implementation Guide STU3 Release 6.1.0</a></li> </ul> <ul> <li><a href="http://hl7.org/fhir/us/core/STU7/index.html">HL7 FHIR® US Core Implementation Guide STU3 Release 7.0.0</a></li> </ul> <ul> <li><a href="http://hl7.org/fhir/us/davinci-hrex/STU1.1/index.html">Da Vinci Health Record Exchange (HRex) 1.1.0 - STU 1.1</a></li> </ul> <h3 id="behavior">FHIR RESTful Capabilities</h3> <p>The Da Vinci CDex Data Consumer Server <strong>SHALL</strong>:</p> <ol> <li>Support at least one of the CDex approaches for exchanging clinical information: <ol> <li>Task Based Approach</li> <li>Attachments</li> </ol> </li> <li>Follow the guidelines for <a href="signatures.html">Generating and Verifying Signed Resources</a> <em>if signatures are required</em>.</li> <li>Support JSON source formats for all Da Vinci CDex interactions.</li> <li>Declare a CapabilityStatement identifying the scenarios, transactions and profiles supported. <ul> <li>Follow the guidelines for <a href="attachments-conformance.html">Conforming to CDex Attachments</a> if supporting this exchange.</li> </ul> </li> </ol> <p>The Da Vinci CDex Data Consumer Server <strong>MAY</strong>:</p> <ol> <li> <p>Support XML source formats for all Da Vinci CDex interactions.</p> <blockquote> <p>Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON. Transforms to and from XML will invalidate signatures.</p> </blockquote> </li> </ol> <p id="security"><strong>Security:</strong></p> <ol> <li>For general security consideration refer to the FHIR <a href="http://build.fhir.org/secpriv-module.html">Security and Privacy Considerations</a>.</li> <li>For security considerations specific to this guide refer to the <a href="security.html">Security and Privacy</a> section.</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> <p><strong>Summary of System Wide Operations</strong></p> <ul> <li><strong>SHOULD</strong> support the <a href="http://hl7.org/fhir/us/davinci-cdex/OperationDefinition/submit-attachment"><code>$submit-attachment</code></a> operation.</li> <blockquote><p>If <a href="attachments.html">Attachments</a> is supported, the Data Consumer Server <strong>SHALL</strong> support the <code>$submit-attachment</code> operation.</p> </blockquote></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="#communicationrequest">CommunicationRequest</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#documentreference">DocumentReference</a> </td> <td> <a href="https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-documentreference.html"/>, <a href="https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-documentreference.html"/>, <a href="https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-documentreference.html"/> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#parameters">Parameters</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#questionnaireresponse">QuestionnaireResponse</a> </td> <td> <a href="StructureDefinition-cdex-sdc-questionnaireresponse.html">CDex SDC QuestionnaireResponse Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#servicerequest">ServiceRequest</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> </tbody> </table> <h4 id="communicationrequest" class="no_toc">CommunicationRequest</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry authorization information regarding for requesting Clinical information</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code><sup>†</sup>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <blockquote>read<sup>†</sup><p>Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario</p> </blockquote> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a CommunicationRequest resource using: <code class="highlighter-rouge">GET [base]/CommunicationRequest/[id]</code> </li> </ul> <hr/> <h4 id="documentreference" class="no_toc">DocumentReference</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to support the <code>$submit-attachment</code> operation</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="https://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-documentreference.html"/> </li> <li><strong>SHALL</strong> support: <a href="https://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-documentreference.html"/> </li> <li><strong>SHALL</strong> support: <a href="https://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-documentreference.html"/> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>create</code>, <code>read</code>, <code>vread</code>, <code>update</code>.</li><li><strong>MAY</strong> support <code>search-type</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a DocumentReference resource using: <code class="highlighter-rouge">GET [base]/DocumentReference/[id]</code> </li> </ul> <hr/> <h4 id="parameters" class="no_toc">Parameters</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to support the <code>$submit-attachment</code> operation</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</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 Parameters resource using: <code class="highlighter-rouge">GET [base]/Parameters/[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><p>Required resource type to support the <code>$submit-attachment</code> operation for Requesting Attachments Using Questionnaires. <em>SHALL</em>* support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse.</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHOULD</strong> support: <a href="StructureDefinition-cdex-sdc-questionnaireresponse.html">CDex SDC 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>.</li><li><strong>MAY</strong> support <code>create</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 QuestionnaireResponse resource using: <code class="highlighter-rouge">GET [base]/QuestionnaireResponse/[id]</code> </li> </ul> <hr/> <h4 id="servicerequest" class="no_toc">ServiceRequest</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry authorization information regarding for requesting Clinical information</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code><sup>†</sup>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <blockquote>read<sup>†</sup><p>Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario</p> </blockquote> <p>Fetch and Search Criteria:</p> <ul> <li> A Server <strong>SHOULD</strong> be capable of returning a ServiceRequest resource using: <code class="highlighter-rouge">GET [base]/ServiceRequest/[id]</code> </li> </ul> <hr/> </div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="claims"/>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-cdex/CapabilityStatement/data-consumer-server"/>
      <version value="2.1.0"/>
      <name value="DataConsumerServerCapabilityStatement"/>
      <title value="Data Consumer Server CapabilityStatement"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2024-10-22T19:20:55.756836-08:00"/>
      <publisher
                 value="HL7 International / Payer/Provider Information Exchange Work Group"/>
      <contact>
        <name
              value="HL7 International / Payer/Provider Information Exchange Work Group"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/claims"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="pie@lists.hl7.org"/>
        </telecom>
      </contact>
      <description
                   value="This CapabilityStatement describes the expected capabilities of a Da Vinci CDex Data Consumer  in *Server* mode when responding to a  Data Source   or one of its proxies during clinical data exchange.   The capabilities include one or more of the following interactions:

    1. Responding to a query for authorization information represented by a CommunicationRequest or ServiceRequest
    1. Responding to  the `$submit-attachment` operation."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </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">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </format>
      <format value="xml">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
      </format>
      <patchFormat value="application/json-patch+json">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
      </patchFormat>
      <implementationGuide
                           value="http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|3.1.1">🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </implementationGuide>
      <implementationGuide
                           value="http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1.0">🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </implementationGuide>
      <implementationGuide
                           value="http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|7.0.0">🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </implementationGuide>
      <implementationGuide
                           value="http://hl7.org/fhir/us/davinci-hrex/ImplementationGuide/hl7.fhir.us.davinci-hrex|1.1.0">🔗
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </implementationGuide>
      <rest>
        <mode value="server"/>
        <documentation
                       value="The  Da Vinci CDex Data Consumer Server **SHALL**:

     1. Support at least one of the CDex approaches for exchanging clinical information:
         1. Task Based Approach
         1. Attachments
    1. Follow the guidelines for [Generating and Verifying Signed Resources](signatures.html) *if signatures are required*.
    1. Support JSON source formats for all Da Vinci CDex interactions.
    1. Declare a CapabilityStatement identifying the scenarios, transactions and profiles supported.
        - Follow the guidelines for [Conforming to CDex Attachments](attachments-conformance.html) if supporting this exchange.

    The  Da Vinci CDex Data Consumer Server **MAY**:

    1. Support XML source formats for all Da Vinci CDex interactions.

       &gt; Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON.  Transforms to and from XML will invalidate signatures."/>
        <security>
          <description
                       value="1. For general security consideration refer to the FHIR [Security and Privacy Considerations](http://build.fhir.org/secpriv-module.html).
    1. For security considerations specific to this guide refer to the [Security and Privacy](security.html) section."/>
        </security>
        <resource>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
            <valueCode value="SHOULD"/>
          </extension>
          <type value="CommunicationRequest"/>
          <documentation
                         value="Required resource type to carry authorization information regarding for requesting Clinical information"/>
          <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="SHOULD"/>
            </extension>
            <code value="search-type"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHOULD"/>
            </extension>
            <code value="read"/>
            <documentation
                           value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/>
          </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="SHOULD"/>
          </extension>
          <type value="DocumentReference"/>
          <supportedProfile
                            value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|3.1.1">🔗
            <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-documentreference|6.1.0">🔗
            <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-documentreference|7.0.0">🔗
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
          </supportedProfile>
          <documentation
                         value="Required resource type to support the `$submit-attachment` operation"/>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHOULD"/>
            </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="SHOULD"/>
            </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="SHOULD"/>
          </extension>
          <type value="Parameters"/>
          <documentation
                         value="Required resource type to support the `$submit-attachment` operation"/>
          <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="SHOULD"/>
            </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="SHOULD"/>
          </extension>
          <type value="QuestionnaireResponse"/>
          <supportedProfile
                            value="http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-sdc-questionnaireresponse|2.1.0">🔗
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHOULD"/>
            </extension>
          </supportedProfile>
          <documentation
                         value="Required resource type to support the `$submit-attachment` operation for Requesting Attachments Using Questionnaires. *SHALL** support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse."/>
          <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="SHOULD"/>
            </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="SHOULD"/>
          </extension>
          <type value="ServiceRequest"/>
          <documentation
                         value="Required resource type to carry authorization information regarding for requesting Clinical information"/>
          <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="SHOULD"/>
            </extension>
            <code value="search-type"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHOULD"/>
            </extension>
            <code value="read"/>
            <documentation
                           value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/>
          </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>
        <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>
        <operation>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
            <valueCode value="SHOULD"/>
          </extension>
          <name value="submit-attachment"/>
          <definition
                      value="http://hl7.org/fhir/us/davinci-cdex/OperationDefinition/submit-attachment"/>
          <documentation
                         value="If [Attachments](attachments.html) is supported, the Data Consumer Server **SHALL**  support the `$submit-attachment` operation."/>
        </operation>
      </rest>
    </CapabilityStatement>