us-core-certifying-system
type: Basic
node role: treeRoot
id:
  v: us-core-certifying-system
text:
  status:
    v: extensions
  div:
    v: These requirements apply to the actor: US Core Certifying System Key Conformance Requirement CONF-0011 SHALL A Server that certifies to the 21st Century Cures Act for accessing patient data SHALL implement all components in the USCDI [USCDI link] CONF-0012 SHALL A Server that certifies to the 21st Century Cures Act for accessing patient data SHALL implement all components in the ... the US Core CapabilityStatement [Definition] . CONF-0124 SHALL Implementations meeting US EHR certification [of the ONC IT Health Certification program] requirements must support all US Core’s required scopes. CONF-0465 SHALL Although Patient.deceased[x] is marked as additional USCDI, certifying systems are not required to support both [boolean and dateTime data types], but SHALL support [at] least Patient.deceasedDateTime CONF-0469 SHALL Certifying systems [, those that are participating in the ONC Health IT certification program,] SHALL... 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. CONF-0801 SHALL If an element is marked as Additional USCDI and defined by a pattern [as described by ElementDefinition.pattern], then the pattern defines the elements and element values that the Certifying System SHALL be capable of providing. CONF-0802 SHALL Primitive elements are single elements with a primitive value…. If they are marked as Additional USCDI, then the Certifying System SHALL be capable of providing the element value to meet the Additional USCDI requirement. CONF-0803 SHALL For any complex element marked as Additional USCDI, the Certifying System SHALL be capable of providing at least one of the sub-element values. CONF-0805 SHALL [I]f any sub-element is marked as Additional USCDI [for a complex element] and the parent element is not… [and] the parent element is represented in the structure, Certifying System SHALL support the sub-elements l…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: cgp
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 3
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core
        l: hl7.fhir.us.core
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core
        l: hl7.fhir.us.core
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url
    l: extension-Requirements.url
  value: Uri
    v: http://hl7.org/fhir/us/core/Requirements/us-core-certifying-system
    l: us-core-certifying-system
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version
    l: extension-Requirements.version
  value: String
    v: 9.0.0
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name
    l: extension-Requirements.name
  value: String
    v: USCoreCertifyingSystemRequirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title
    l: extension-Requirements.title
  value: String
    v: US Core Certifying System Requirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status
    l: extension-Requirements.status
  value: Code
    v: draft
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date
    l: extension-Requirements.date
  value: DateTime
    v: 2026-03-10T21:34:07+00:00
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher
    l: extension-Requirements.publisher
  value: String
    v: HL7 International / Cross-Group Projects
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact
    l: extension-Requirements.contact
  value: ContactDetail
    name:
      v: HL7 International / Cross-Group Projects
    telecom:
      system:
        v: url
      value:
        v: http://www.hl7.org/Special/committees/cgp
    telecom:
      system:
        v: email
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description
    l: extension-Requirements.description
  value: Markdown
    v: This [Requirements](https://hl7.org/fhir/R5/requirements.html) resource lists the *additional requirements* for systems certifying for ASTP Health IT Certification (g(10) certification. These requirements represent the regulatory and technical specifications that design artifacts must meet to ensure interoperability. See the [US Core Server Requirements](Requirements-us-core-server.html) for the US Core Responder (Server) requirements defined in the US Core Implementation Guide narrative sections.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction
    l: extension-Requirements.jurisdiction
  value: CodeableConcept
    coding:
      system:
        v: urn:iso:std:iso:3166
        l: 3166
      code:
        v: US
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.copyright
    l: extension-Requirements.copyright
  value: Markdown
    v: Used by permission of HL7 International, all rights reserved Creative Commons License
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor
    l: extension-Requirements.actor
  value: Canonical
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/display
        l: display
      value: String
        v: US Core Certifying System
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0011
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code
      v: SHALL
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
      l: extension-Requirements.statement.requirement
    value: Markdown
      v: A Server that certifies to the [21st Century Cures Act for accessing patient data](https://www.federalregister.gov/d/2020-07419/p-1177) **SHALL** implement all components in the USCDI [[USCDI link](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi)]
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
    l: extension-Requirements.statement
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0012
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code
      v: SHALL
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
      l: extension-Requirements.statement.requirement
    value: Markdown
      v: A Server that certifies to the [21st Century Cures Act for accessing patient data](https://www.federalregister.gov/d/2020-07419/p-1177) **SHALL** implement all components in the ... the US Core CapabilityStatement [[Definition](https://hl7.org/fhir/us/core/CapabilityStatement-us-core-Server.html)] .
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
    l: extension-Requirements.statement
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0124
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code
      v: SHALL
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
      l: extension-Requirements.statement.requirement
    value: Markdown
      v: Implementations meeting US EHR certification [of the ONC IT Health Certification program] requirements must support all US Core’s required scopes.
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
    l: extension-Requirements.statement
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id

Id
v: CONF-0465

url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
  l: extension-Requirements.statement.conformance
value: Code
  v: SHALL

url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
  l: extension-Requirements.statement.requirement
value: Markdown
  v: Although Patient.deceased[x] is marked as additional USCDI, certifying systems are not required to support both [boolean and dateTime data types], but **SHALL** support [at] least Patient.deceasedDateTime

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0469
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [Certifying systems](https://www.healthit.gov/topic/certification-ehrs/about-onc-health-it-certification-program) [, those that are participating in the ONC Health IT certification program,] **SHALL**... follow the [Project US@ Technical Specification for Patient Addresses Final Version 1.0](https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf) as the standard style guide for Patient.address.line and Patient.address.city for new and updated records.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0801
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: If an element is marked as *Additional USCDI* and defined by a pattern [as described by [ElementDefinition.pattern](http://hl7.org/fhir/R4/elementdefinition-definitions.html#ElementDefinition.pattern_x_)], then the pattern defines the elements *and* element values that the Certifying System **SHALL** be capable of providing.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0802
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Primitive elements are single elements with a primitive value…. If they are marked as *Additional USCDI*, then the Certifying System **SHALL** be capable of providing the element value to meet the *Additional USCDI* requirement.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0803
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For any complex element marked as *Additional USCDI*, the Certifying System **SHALL** be capable of providing at least one of the sub-element values.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0805
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [I]f any sub-element is marked as *Additional USCDI* [for a complex element] and the parent element is not… [and] the parent element is represented in the structure, Certifying System **SHALL** support the sub-elements labeled as *Additional USCDI*.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0809
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element is labeled as Additional USCDI and has a single target profile referenced, the target profile **SHALL** be supported for Certifying Systems.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0811
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element labeled as Additional USCDI, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) **SHALL** be supported by Certifying Systems.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0812
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [I]f a slice is labeled as ... Additional USCDI and the slicer element is not labeled as ... Additional USCDI, then if the ... certifying system supports the element, it must support the slice's definition. There are no examples of this structure in US Core.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0814
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [I]f a slice is labeled as … Additional USCDI and the slicer element is ... labeled as … Additional USCDI, then … certifying system [**SHALL** support] the element[ and] the slice's definition.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0833
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Certifying Systems **SHALL** support, a category of "sdoh"
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0834
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Certifying Systems ... **SHOULD** support the ... [US Core Simple Observation Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.html) codes
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0835
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Certifying Systems ... **MAY** support other categories
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0846
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For the US Core Observation Screening Assessment Profile,] Certifying Systems **SHALL** support, the [US Core Screening Assessment Observation Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html) codes
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0847
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For the US Core Observation Screening Assessment Profile,] Certifying Systems **SHOULD** support, the [US Core Screening Assessment Observation Maximum Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-maximum-category.html) codes
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0848
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For the US Core Observation Screening Assessment Profile,] Certifying Systems **MAY** support other codes.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0861
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems ... **SHOULD** support the other [US Core Simple Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.html) [in addition to the [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html)]
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0862
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems **SHALL** support, the [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html)
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0863
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems ... **MAY** support other categories [in addition to [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html) and [US Core Simple Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.html)].
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0873
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: If an element is marked as *Additional USCDI* and defined by a pattern [as described by [ElementDefinition.pattern](http://hl7.org/fhir/R4/elementdefinition-definitions.html#ElementDefinition.pattern_x_)], then the pattern defines the elements *and* element values that the Certifying System **SHALL** be capable of providing.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0874
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: If [an element is] ... marked as *Additional USCDI*, then the Certifying System **SHALL** be capable of providing the element value to meet the *Additional USCDI* requirement.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0875
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For any complex element marked as *Additional USCDI*, the Certifying System **SHALL** be capable of providing at least one of the sub-element values
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0876
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For any complex element marked as *Additional USCDI*]. If any sub-element is marked as *Additional USCDI*, [the Certifying System **SHALL**] ... meet the *Additional USCDI* requirements and satisfy the *Additional USCDI* requirements for the parent element.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0878
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element is labeled as *Additional USCDI* and has a single target profile referenced, the target profile **SHALL** be supported for Certifying Systems.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0880
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element labeled as *Additional USCDI*, has multiple target profiles referenced, and specific targets are labeled as *Must Support*, the *Must Support* target profile(s) **SHALL** be supported by Certifying Systems
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0883
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference element is labeled as *Additional USCDI* has multiple target profiles referenced, but none are labeled as *Must Support*, *at least one* target profile **SHALL** be supported by Certifying Systems.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0884
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: If an *Additional USCDI* element has a choice of datatypes for its content, the datatypes the Certifying System **SHALL** support are labeled as *Must Support*.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

system:
  v: urn:ietf:rfc:3986
  l: 3986
value:
  v: urn:oid:2.16.840.1.113883.4.642.40.2.36.1

coding:
  system:
    v: http://hl7.org/fhir/fhir-types
    l: fhir-types
  code:
    v: Requirements