Generated Narrative: CapabilityStatement us-quality-core-client US Quality Core Client CapabilityStatement Implementation Guide Version: 0.1.0 FHIR Version: 4.0.1 Supported Formats: json Published on: 2026-03-31 Published by: ASTP Note to Implementers: FHIR Capabilities Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case. SHALL Support the Following Implementation Guides http://fhir.org/guides/astp/us-quality-core FHIR RESTful Capabilities Mode: client The US Quality Core Client SHALL: Support fetching and querying US Quality Core profiles that contain at least one USCDI+ Quality flagged element, using the supported RESTful interactions and search parameters declared in the US Quality Core Server CapabilityStatement Recognize and process all MustSupport and USCDI+ Quality flagged elements in US Quality Core Treat all modifying attributes as MustSupport, even if not explicitly declared SHALL NOT process resource instances that include unknown modifying attributes Be simultaneously conformant with US Quality Core profiles and US Core profiles. As such, the more restrictive bindings between US Core and US Quality Core SHALL be adhered to. For example, all value sets that are required in US Core SHALL be required by US Quality Core, regardless of the binding strength in US Quality Core. NOTE: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations, such as comparator expectations, and to support generation tooling. They SHALL NOT be interpreted as search parameters for searching. Servers and Clients SHOULD use the standard FHIR SearchParameters. Summary of System-wide Interactions MAY support the transactioninteraction. MAY support the batchinteraction. MAY support the search-systeminteraction. MAY support the history-systeminteraction. Capabilities by Resource/Profile Summary The summary table lists the resources that are part of this configuration, and for each resource it lists: The relevant profiles (if any) The interactions supported by each resource (Read, Search, Update, and Create, are always shown, while VRead, Patch, Delete, History on Instance, or History on Type are only present if at least one of the resources has support for them. The required, recommended, and some optional search parameters (if any). The linked resources enabled for _include The other resources enabled for _revinclude The operations on the resource (if any) Resource Type Profile R S U C Searches _include _revinclude Operations AdverseEvent Supported Profiles US Quality Core AdverseEvent Y Y subject, event, recordedDate, subject+event, subject+recordedDate AllergyIntolerance Supported Profiles US Quality Core AllergyIntolerance Y Y patient CarePlan Supported Profiles US Quality Core CarePlan Y Y patient, category, patient+category CareTeam Supported Profiles US Quality Core CareTeam Y Y patient, status, patient+status Claim Supported Profiles US Quality Core Claim Y Y patient Condition Supported Profiles US Quality Core Condition Encounter Diagnosis US Quality Core Condition Problems Health Concerns Y Y patient, category, code, onset-date, abatement-date, patient+abatement-date, patient+category, patient+code, patient+onset-date Coverage Supported Profiles US Quality Core Coverage Y Y patient DeviceRequest Supported Profiles US Quality Core DeviceRequest US Quality Core Device Not Requested Y Y patient, code, patient+code DiagnosticReport Supported Profiles US Quality Core DiagnosticReport Profile for Report and Note Exchange US Quality Core DiagnosticReport Profile for Laboratory Results Reporting Y Y patient, category, code, date, patient+category, patient+category+date, patient+code Encounter Supported Profiles US Quality Core Encounter Y Y _id, patient, type, date, patient+type, patient+date FamilyMemberHistory Supported Profiles US Quality Core FamilyMemberHistory Y Y patient Goal Supported Profiles US Quality Core Goal Y Y patient Immunization Supported Profiles US Quality Core Immunization US Quality Core Immunization Not Done Y Y patient, status, date, patient+date, patient+status Location Supported Profiles US Quality Core Location Y Y _id Medication Supported Profiles US Quality Core Medication Y Y code MedicationAdministration Supported Profiles US Quality Core MedicationAdministration US Quality Core MedicationAdministration Not Done Y Y patient, status, code, effective-time, patient+status, patient+code, patient+effective-time MedicationDispense Supported Profiles US Quality Core MedicationDispense US Quality Core MedicationDispense Declined Y Y patient, status, patient+status MedicationRequest Supported Profiles US Quality Core MedicationRequest US Quality Core Medication Not Requested Y Y patient, intent, patient+intent Observation Supported Profiles US Quality Core Observation Clinical Result US Quality Core Simple Observation US Quality Core Observation Screening Assessment US Quality Core Observation Cancelled US Quality Core Laboratory Result Observation Y Y patient, category, code, date, patient+category, patient+category+date, patient+code Organization Supported Profiles US Quality Core Organization Y y? Patient Supported Profiles US Quality Core Patient Y Y _id Practitioner Supported Profiles US Quality Core Practitioner Y Y _id PractitionerRole Supported Profiles US Quality Core PractitionerRole Y Y _id Procedure Supported Profiles US Quality Core Procedure US Quality Core Procedure Not Done Y Y patient, status, date, patient+status, patient+date RelatedPerson Supported Profiles US Quality Core RelatedPerson Y Y _id, patient ServiceRequest Supported Profiles US Quality Core ServiceRequest US Quality Core Service Not Requested Y Y _id, patient, category, code, authored, patient+category, patient+category+authored, patient+code Task Supported Profiles US Quality Core Task US Quality Core Task Rejected Y Y patient, status, code, patient+status, patient+code Resource Conformance: SHALL AdverseEvent Core FHIR Resource AdverseEvent Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core AdverseEvent Search Parameters Conformance Parameter Type Documentation SHALL subject reference The client SHALL provide an id value for the reference. MAY event token The client MAY provide a code value. MAY recordedDate date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL subject+event reference+token SHALL subject+recordedDate reference+date Resource Conformance: SHALL AllergyIntolerance Core FHIR Resource AllergyIntolerance Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core AllergyIntolerance Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL CarePlan Core FHIR Resource CarePlan Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core CarePlan Search Parameters Conformance Parameter Type Documentation MAY patient reference The client SHALL provide an id value for the reference. MAY category token The client MAY provide a code value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token Resource Conformance: SHALL CareTeam Core FHIR Resource CareTeam Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core CareTeam Search Parameters Conformance Parameter Type Documentation MAY patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a code value. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token Resource Conformance: SHALL Claim Core FHIR Resource Claim Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Claim Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL Condition Core FHIR Resource Condition Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Condition Encounter Diagnosis US Quality Core Condition Problems Health Concerns Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY category token The client MAY provide a category. MAY code token The client MAY provide a code value. MAY onset-date date The client MAY provide a date value. MAY abatement-date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHOULD patient+abatement-date reference+date SHOULD patient+code reference+token SHOULD patient+onset-date reference+date Resource Conformance: SHALL Coverage Core FHIR Resource Coverage Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Coverage Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL DeviceRequest Core FHIR Resource DeviceRequest Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core DeviceRequest US Quality Core Device Not Requested Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY code token The client MAY provide a code value. Combined Search Parameters Conformance Parameters Types SHALL patient+code reference+token Resource Conformance: SHALL DiagnosticReport Core FHIR Resource DiagnosticReport Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core DiagnosticReport Profile for Report and Note Exchange US Quality Core DiagnosticReport Profile for Laboratory Results Reporting Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY category token The client MAY provide a category. MAY code token The client MAY provide a code value. MAY date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHALL patient+category+date reference+token+date SHALL patient+code reference+token Resource Conformance: SHALL Encounter Core FHIR Resource Encounter Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Encounter Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. SHALL patient reference The client SHALL provide an id value for the reference. MAY type token The client MAY provide a code value. MAY date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+type reference+token SHALL patient+date reference+date Resource Conformance: SHALL FamilyMemberHistory Core FHIR Resource FamilyMemberHistory Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core FamilyMemberHistory Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL Goal Core FHIR Resource Goal Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Goal Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL Immunization Core FHIR Resource Immunization Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Immunization US Quality Core Immunization Not Done Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a status. MAY date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token SHOULD patient+date reference+date Resource Conformance: SHALL Location Core FHIR Resource Location Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Location Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. Resource Conformance: SHALL Medication Core FHIR Resource Medication Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Medication Search Parameters Conformance Parameter Type Documentation SHALL code token The client SHALL provide a code value. Resource Conformance: SHALL MedicationAdministration Core FHIR Resource MedicationAdministration Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core MedicationAdministration US Quality Core MedicationAdministration Not Done Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a status. MAY code token The client MAY provide a code value. MAY effective-time date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token SHALL patient+code reference+token SHALL patient+effective-time reference+date Resource Conformance: SHALL MedicationDispense Core FHIR Resource MedicationDispense Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core MedicationDispense US Quality Core MedicationDispense Declined Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a status. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token Resource Conformance: SHALL MedicationRequest Core FHIR Resource MedicationRequest Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core MedicationRequest US Quality Core Medication Not Requested Search Parameters Conformance Parameter Type Documentation MAY patient reference The client SHALL provide an id value for the reference. MAY intent token The client MAY provide a token value. Combined Search Parameters Conformance Parameters Types SHALL patient+intent reference+token Resource Conformance: SHALL Observation Core FHIR Resource Observation Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Observation Clinical Result US Quality Core Simple Observation US Quality Core Observation Screening Assessment US Quality Core Observation Cancelled US Quality Core Laboratory Result Observation Search Parameters Conformance Parameter Type Documentation MAY patient reference The client SHALL provide an id value for the reference. MAY category token The client MAY provide a category. MAY code token The client MAY provide a code value. MAY date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHALL patient+category+date reference+token+date SHALL patient+code reference+token Resource Conformance: SHALL Organization Core FHIR Resource Organization Reference Policy resolves Interaction summary SHALL support read. MAY support search-type. Supported Profiles US Quality Core Organization Resource Conformance: SHALL Patient Core FHIR Resource Patient Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Patient Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. Resource Conformance: SHALL Practitioner Core FHIR Resource Practitioner Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Practitioner Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. Resource Conformance: SHALL PractitionerRole Core FHIR Resource PractitionerRole Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core PractitionerRole Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. Resource Conformance: SHALL Procedure Core FHIR Resource Procedure Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Procedure US Quality Core Procedure Not Done Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a status. MAY date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token SHALL patient+date reference+date Resource Conformance: SHALL RelatedPerson Core FHIR Resource RelatedPerson Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core RelatedPerson Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. SHALL patient reference The client SHALL provide an id value for the reference. Resource Conformance: SHALL ServiceRequest Core FHIR Resource ServiceRequest Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core ServiceRequest US Quality Core Service Not Requested Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide an id value. SHALL patient reference The client SHALL provide an id value for the reference. MAY category token The client MAY provide a category. MAY code token The client MAY provide a code value. MAY authored date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHALL patient+category+authored reference+token+date SHALL patient+code reference+token Resource Conformance: SHALL Task Core FHIR Resource Task Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Task US Quality Core Task Rejected Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY status token The client MAY provide a status. MAY code token The client MAY provide a code value. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token SHALL patient+code reference+token
US Quality Core Client CapabilityStatement
This capability statement describes the expected capabilities of the US Quality Core Client which is responsible for initiating queries for USCDI+ Quality V1 data from US Quality Core Servers. The set of FHIR RESTful operations and search parameters required to be supported by US Quality Core Servers is provided in the [US Quality Core Server Capability Statement](CapabilityStatement-us-quality-core-server.html). US Quality Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.
The US Quality Core Client SHALL: 1. Support fetching and querying US Quality Core profiles that contain at least one USCDI+ Quality flagged element, using the supported RESTful interactions and search parameters declared in the US Quality Core Server CapabilityStatement 2. Recognize and process all MustSupport and USCDI+ Quality flagged elements in US Quality Core 3. Treat all modifying attributes as MustSupport, even if not explicitly declared 4. SHALL NOT process resource instances that include unknown modifying attributes 5. Be simultaneously conformant with US Quality Core profiles and US Core profiles. As such, the more restrictive bindings between US Core and US Quality Core SHALL be adhered to. For example, all value sets that are required in US Core SHALL be required by US Quality Core, regardless of the binding strength in US Quality Core. NOTE: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations, such as comparator expectations, and to support generation tooling. They SHALL NOT be interpreted as search parameters for searching. Servers and Clients SHOULD use the standard FHIR SearchParameters.
The client **SHALL** provide an id value for the reference.
The client **MAY** provide a code value.
The client **MAY** provide a date value.
The client **SHALL** provide an id value.
The client **SHALL** provide a code value.
The client **MAY** provide a token value.