Generated Narrative: CapabilityStatement us-quality-core-client US Quality Core Client CapabilityStatement Implementation Guide Version: 0.5.0 FHIR Version: 4.0.1 Supported Formats: json Published on: 2026-05-15 Published by: Office of the National Coordinator for Health Information Technology (ONC) 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/onc/us-quality-core/ImplementationGuide/fhir.onc.us-quality-core FHIR RESTful Capabilities Mode: client The US Quality Core Client SHALL: Support fetching and querying US Quality Core and US Core profiles that contain at least one in-scope USCDI+ Quality data 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, and all MustSupport elements in in-scope US Core profiles 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 Quality Core and 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. Actual searches 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, recorded-date, subject+event, subject+recorded-date Provenance:target AllergyIntolerance Supported Profiles US Quality Core AllergyIntolerance Y Y patient Provenance:target CarePlan Supported Profiles US Quality Core CarePlan Y Y patient, category, patient+category Provenance:target CareTeam Supported Profiles US Quality Core CareTeam Y Y patient, status, patient+status Provenance:target Claim Supported Profiles US Quality Core Claim Y Y patient Provenance:target Condition Supported Profiles US Quality Core Condition Encounter Diagnosis US Quality Core Condition Problems Health Concerns Y Y patient, category, code, patient+category, patient+code Provenance:target Coverage Supported Profiles US Quality Core Coverage Y Y patient Provenance:target DeviceRequest Supported Profiles US Quality Core DeviceRequest US Quality Core Device Not Requested Y Y patient, code, do-not-perform, patient+code, patient+do-not-perform Provenance:target 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 Provenance:target DocumentReference Supported Profiles US Core DocumentReference Profileversion: 6.1.0) Y Y patient, _id, category, date, type, patient+type, patient+category, patient+category+date Provenance:target Encounter Supported Profiles US Quality Core Encounter Y Y _id, patient, type, date, patient+type, patient+date Provenance:target FamilyMemberHistory Supported Profiles US Quality Core FamilyMemberHistory Y Y patient Provenance:target Goal Supported Profiles US Quality Core Goal Y Y patient Provenance:target ImagingStudy Supported Profiles US Quality Core ImagingStudy Y Y patient, procedure-code, patient+procedure-code Provenance:target Immunization Supported Profiles US Quality Core Immunization US Quality Core Immunization Not Done Y Y patient, status, patient+status Provenance:target Location Supported Profiles US Quality Core Location Y Y 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 Provenance:target MedicationDispense Supported Profiles US Quality Core MedicationDispense US Quality Core MedicationDispense Declined Y Y patient, status, patient+status Provenance:target MedicationRequest Supported Profiles US Quality Core MedicationRequest US Quality Core Medication Not Requested Y Y patient, intent, do-not-perform, patient+intent+do-not-perform, patient+intent Provenance:target 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 Core Observation Pregnancy Intent Profileversion: 6.1.0) US Core Observation Pregnancy Status Profileversion: 6.1.0) US Core Smoking Status Observation Profileversion: 6.1.0) US Quality Core Laboratory Result Observation US Core Observation Occupation Profileversion: 6.1.0) US Core Blood Pressure Profileversion: 6.1.0) US Core BMI Profileversion: 6.1.0) US Core Pediatric BMI for Age Observation Profileversion: 6.1.0) US Core Body Height Profileversion: 6.1.0) US Core Body Temperature Profileversion: 6.1.0) US Core Body Weight Profileversion: 6.1.0) US Core Pediatric Head Occipital Frontal Circumference Percentile Profileversion: 6.1.0) US Core Heart Rate Profileversion: 6.1.0) US Core Pulse Oximetry Profileversion: 6.1.0) US Core Respiratory Rate Profileversion: 6.1.0) US Core Pediatric Weight for Height Observation Profileversion: 6.1.0) Y Y patient, category, status, code, date, patient+category+status, patient+category, patient+category+date, patient+code Provenance:target Organization Supported Profiles US Quality Core Organization Y y? Patient Supported Profiles US Quality Core Patient Y Y _id Provenance:target Practitioner Supported Profiles US Quality Core Practitioner Y Y PractitionerRole Supported Profiles US Quality Core PractitionerRole Y Y Procedure Supported Profiles US Quality Core Procedure US Quality Core Procedure Not Done Y Y patient, status, date, patient+status, patient+date Provenance:target Provenance Supported Profiles US Core Provenance Profileversion: 6.1.0) Y y? RelatedPerson Supported Profiles US Quality Core RelatedPerson Y Y _id, patient Provenance:target ServiceRequest Supported Profiles US Quality Core ServiceRequest US Quality Core Service Not Requested Y Y _id, patient, category, code, authored, do-not-perform, patient+category, patient+category+authored, patient+code, patient+do-not-perform Provenance:target Specimen Supported Profiles US Core Specimen Profileversion: 6.1.0) Y Y patient, _id Task Supported Profiles US Quality Core Task US Quality Core Task Rejected Y Y patient, status, code, patient+status, patient+code Provenance:target 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 recorded-date date The client MAY provide a date value. Combined Search Parameters Conformance Parameters Types SHALL subject+event reference+token SHALL subject+recorded-date 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. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHALL patient+code reference+token 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. MAY do-not-perform token The client MAY provide a token value. Combined Search Parameters Conformance Parameters Types SHALL patient+code reference+token SHALL patient+do-not-perform 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 DocumentReference Core FHIR Resource DocumentReference Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Core DocumentReference Profileversion: 6.1.0) Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. SHALL _id token The client SHALL provide a token value. MAY category token The client MAY provide a token value. MAY date date The client MAY provide a date value. MAY type token The client MAY provide a token value. Combined Search Parameters Conformance Parameters Types SHALL patient+type reference+token SHALL patient+category reference+token SHALL patient+category+date reference+token+date 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 ImagingStudy Core FHIR Resource ImagingStudy Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core ImagingStudy Search Parameters Conformance Parameter Type Documentation SHALL patient reference The client SHALL provide an id value for the reference. MAY procedure-code token The client MAY provide a code value. Combined Search Parameters Conformance Parameters Types SHALL patient+procedure-code reference+token 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. Combined Search Parameters Conformance Parameters Types SHALL patient+status reference+token Resource Conformance: SHALL Location Core FHIR Resource Location Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core Location 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. MAY do-not-perform token The client MAY provide a token value. Combined Search Parameters Conformance Parameters Types SHALL patient+intent+do-not-perform reference+token+token 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 Core Observation Pregnancy Intent Profileversion: 6.1.0) US Core Observation Pregnancy Status Profileversion: 6.1.0) US Core Smoking Status Observation Profileversion: 6.1.0) US Quality Core Laboratory Result Observation US Core Observation Occupation Profileversion: 6.1.0) US Core Blood Pressure Profileversion: 6.1.0) US Core BMI Profileversion: 6.1.0) US Core Pediatric BMI for Age Observation Profileversion: 6.1.0) US Core Body Height Profileversion: 6.1.0) US Core Body Temperature Profileversion: 6.1.0) US Core Body Weight Profileversion: 6.1.0) US Core Pediatric Head Occipital Frontal Circumference Percentile Profileversion: 6.1.0) US Core Heart Rate Profileversion: 6.1.0) US Core Pulse Oximetry Profileversion: 6.1.0) US Core Respiratory Rate Profileversion: 6.1.0) US Core Pediatric Weight for Height Observation Profileversion: 6.1.0) 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 status token The client MAY provide a status. 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+status reference+token+token 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 Resource Conformance: SHALL PractitionerRole Core FHIR Resource PractitionerRole Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Quality Core PractitionerRole 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 Provenance Core FHIR Resource Provenance Reference Policy resolves Interaction summary SHALL support read. MAY support search-type. Supported Profiles US Core Provenance Profileversion: 6.1.0) 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. MAY do-not-perform token The client MAY provide a token value. Combined Search Parameters Conformance Parameters Types SHALL patient+category reference+token SHALL patient+category+authored reference+token+date SHALL patient+code reference+token SHALL patient+do-not-perform reference+token Resource Conformance: SHALL Specimen Core FHIR Resource Specimen Reference Policy resolves Interaction summary SHALL support read, search-type. Supported Profiles US Core Specimen Profileversion: 6.1.0) Search Parameters Conformance Parameter Type Documentation SHALL _id token The client SHALL provide a token value. MAY patient reference The client SHALL provide an id value for the reference. 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
Office of the National Coordinator for Health Information Technology (ONC)
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 and US Core profiles that contain at least one in-scope USCDI+ Quality data 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, and all MustSupport elements in in-scope US Core profiles 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 Quality Core and 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. Actual searches 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 **MAY** provide a token value.
The client **SHALL** provide a token value.
The client **SHALL** provide an id value.
The client **SHALL** provide a code value.