us-core-server
type: Basic
node role: treeRoot
id:
  v: us-core-server
text:
  status:
    v: extensions
  div:
    v: These requirements apply to the actor: US Core Requestor (Server) Key Conformance Requirement CONF-0001 SHALL To support a US Core Profile, a Server: SHALL Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition. CONF-0002 SHOULD To support a US Core Profile, a Server: SHOULD declare support for a US Core Profile by including its official URL in the Server’s CapabilityStatement.rest.resource.supportedProfile element. CONF-0003 MAY Servers may deploy and support one or more US Core Profiles to represent clinical information CONF-0004 MAY Server may deploy and support ... the following US Core interaction: “Quick Start” defined for each Profile CONF-0005 MAY Server may deploy and support ... the following US Core interaction: Clinical Notes CONF-0006 MAY Server may deploy and support ... the following US Core interaction: Medication List CONF-0007 MAY Server may deploy and support ... the following US Core interaction: Basic Provenance CONF-0008 MAY Server may deploy and support ... the following US Core interaction: Screening and Assessments CONF-0009 MAY Servers implementing ... [clinical information representation] can claim conformance to the US Core Profile content structure ... by implementing all or parts of the US Core CapabilityStatement into their capabilities. CONF-0010 MAY Servers implementing ... [interactions] can claim conformance to the ... RESTful interactions defined by implementing all or parts of the US Core CapabilityStatement into their capabilities CONF-0013 SHALL [To claim conformance to a US Core Profile] a conformant Server: SHALL Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition. CONF-0014 SHOULD [To claim conformance to a US Core Profile] a conformant Server: SHOULD declare conformance with the US Core Server Capability Statement by including its official URL …
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-server
    l: us-core-server
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: USCoreServerRequirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title
    l: extension-Requirements.title
  value: String
    v: US Core Server 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 US Core Responder (Server) requirements defined in the US Core Implementation Guide narrative sections. These requirements represent the regulatory, business, functional, and technical specifications that design artifacts must meet to ensure interoperability. See the [US Core Certifying System Requirements](Requirements-us-core-certifying-system.html) for the *additional requirements* for systems certifying for ASTP Health IT Certification (g(10) certification.
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 Requestor (Server)
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0001
  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: To support a US Core Profile, a Server: **SHALL** Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition.
  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-0002
  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: To support a US Core Profile, a Server: **SHOULD** declare support for a US Core Profile by including its official URL in the Server’s `CapabilityStatement.rest.resource.supportedProfile` element.
  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-0003
  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: Servers may deploy and support one or more US Core Profiles to represent clinical information
  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-0004

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

url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
  l: extension-Requirements.statement.requirement
value: Markdown
  v: Server may deploy and support ... the following US Core interaction: “Quick Start” defined for each Profile

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0005
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: Server may deploy and support ... the following US Core interaction: [Clinical Notes](https://hl7.org/fhir/us/core/clinical-notes.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-0006
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: Server may deploy and support ... the following US Core interaction: [Medication List](https://hl7.org/fhir/us/core/medication-list.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-0007
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: Server may deploy and support ... the following US Core interaction: [Basic Provenance](https://hl7.org/fhir/us/core/basic-provenance.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-0008
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: Server may deploy and support ... the following US Core interaction: [Screening and Assessments](https://hl7.org/fhir/us/core/screening-and-assessments.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-0009
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: Servers implementing ... [clinical information representation] can claim conformance to the US Core Profile content structure ... by implementing all or parts of the US Core CapabilityStatement into their capabilities.
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-0010
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: Servers implementing ... [interactions] can claim conformance to the ... RESTful interactions defined by implementing all or parts of the US Core CapabilityStatement into their capabilities
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-0013
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: [To claim conformance to a US Core Profile] a conformant Server: **SHALL** Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition.
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-0014
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: [To claim conformance to a US Core Profile] a conformant Server: **SHOULD** declare conformance with the US [Core Server Capability Statement](https://hl7.org/fhir/us/core/CapabilityStatement-us-core-Server.html) by including its official URL in the Server’s `CapabilityStatement.instantiates` element: `http://hl7.org/fhir/us/core/CapabilityStatement/us-core-Server`
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-0015
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: [To claim conformance to a US Core Profile] a conformant Server: **SHALL** specify the full capability details from the US Core CapabilityStatement it claims to implement.
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-0016
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: [To claim conformance to a US Core Profile] a conformant Server: **SHALL**… Declare support for the US Core Profile by including its official URL in the Server’s CapabilityStatement.rest.resource.supportedProfile 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-0017
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: [To claim conformance to a US Core Profile] a conformant Server: **SHALL**… Declare support for the US Core Profile’s FHIR RESTful transactions.
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-0018
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: [Required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition means that one of the codes from the specified ValueSet **SHALL** be used.
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-0019
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 `CodeableConcept`, which permits multiple codings and a text element, this [[Required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition] rule applies to at least one of the codings
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot
    l: requirements-statementshallnot
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0020
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For a [[required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition], a `CodeableConcept`which permits multiple codings and a text element … [using] only text is not valid.
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-0021
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 populating a coded element with a [required binding](http://hl7.org/fhir/R4/terminologies.html#required] to a ValueSet definition] US Core Responders **SHALL** provide a code exclusively from [the required binding] ValueSet
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-0023
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: [Extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) means that one of the codes from the specified ValueSet **SHALL** be used if an applicable concept is present.
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-0024
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: [When using an [extensible Binding] (http://hl7.org/fhir/R4/terminologies.html#extensible)] If no suitable code exists in the [extensible] ValueSet, alternate code(s) may be provided.
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-0026
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 `CodeableConcept` [with an [extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) … If only text is available and it has no conceptual overlap with the bound coded values, then just text may be used.
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-0027
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 claiming conformance to ... [to a US Core profile extensible binding rule, a] US Core Responders Shall provide: A code from … [the] valueset 'DataElement.code.code' if the concept exists in the valueset [for a DataElement.code that has an extensible binding] Or an alternative code if the concept does not exist in the valueset [for a DataElement.code that has an extensible binding] Or text in ... `[DataElement.code.text]’ if only text is available [for a DataElement.code that has an extensible binding]
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-0029
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: Alternate codes may be provided in addition to the standard codes defined in required or extensible ValueSets. These alternate codes are called "additional codings".
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-0030
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: [The additional codings] may be equivalent to or narrower in meaning than the standard concept code.
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-0033
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: Not all modifier elements are Mandatory or Must Support, and there is no requirement for supporting them
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-0034
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: Servers **MAY** communicate a system-wide profile in their CapabilityStatement to identify which additional elements, including modifier elements, they support
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-0039
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 the source system does not have data for an element with a minimum cardinality = 0 (including elements labeled Must Support), the data element **SHALL** be omitted from the resource.
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-0040
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 the data element is a Mandatory element (in other words, where the minimum cardinality is > 0), it **SHALL** be present even if the source system does not have data.
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-0041
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 [mandatory] non-coded data elements [where data is not available], use the [DataAbsentReason Extension](http://hl7.org/fhir/R4/extension-data-absent-reason.html) in the data type ... [with] the code `unknown` - The value is expected to exist but is not known.
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-0042
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: [In situations where data is not available] for [mandatory] coded data elements … [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes) If the source system has text but no coded data, only the text element is used.
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-0043
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: [In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes): For Coding datatypes, the text-only data is represented as a display 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-0044
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: [In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] use the appropriate “unknown” concept code from the ValueSet if available.
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-0045
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: [In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] if the ValueSet does not have the appropriate “unknown” concept code, use unknown from the [DataAbsentReason Code System](http://hl7.org/fhir/R4/codesystem-data-absent-reason.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-0046
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: [In situations where data is not available] for [mandatory] coded data elements… [with] *required* binding strength (CodeableConcept or code datatypes): use the appropriate “unknown” concept code from the ValueSet if available
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-0047
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: [In situations where data is not available] for [mandatory] coded data elements… [with] *required* binding strength (CodeableConcept or code datatypes): If the ValueSet does not have the appropriate “unknown” concept code, you must use a concept from the ValueSet. Otherwise, the instance will not be conformant
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-0048
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 the source system does not have data for a Mandatory element for a coded data element with *required* binding strength] If any of these status codes is missing [meaning it lacks an "unknown" or otherwise appropriate concept code from the ValueSet, a] 404 HTTP error code and an OperationOutcome **SHALL** be returned in response to a read transaction on the resource.
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-0049
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 the source system does not have data for a Mandatory element for a coded data element with *required* binding strength, and the ValueSet does not have the appropriate "unknown" concept code, then] if returning a response to a search, the problematic resource **SHALL** be excluded from the search set
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-0050
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: [If the source system does not have data for a Mandatory element for a coded data element with *required* binding strength, and the ValueSet does not have the appropriate "unknown" concept code, then] if returning a response to a search, … a *warning* OperationOutcome **SHOULD** be included indicating that other search results were found but could not be compliantly expressed and have been suppressed.
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-0051
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: The [FHIR RESTful Search API](http://hl7.org/fhir/R4/http.html#search) requires that Servers that support search **SHALL** support the HTTP `POST`-based search.
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-0052
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 all the supported search interactions in this guide, Servers **SHALL** also support the `GET`-based search.
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-0055
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 searching using the `token` type searchparameter [(how to search by token)](http://hl7.org/fhir/R4/search.html#token) The Server **SHALL** support both [system and code 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-0058
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 searching using the `reference` type searchparameter [(how to search by reference)](http://hl7.org/fhir/R4/search.html#reference) The Server **SHALL** support both [id and Type 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-0061
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 searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Server **SHALL** support values precise to the day for elements of datatype `date`
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-0062
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 searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Server **SHALL** support values precise … to the second + time offset for elements of `datatype` dateTime
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-0063
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: Servers are strongly encouraged to support a query for resources without requiring a status parameter.
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-0064
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 business requirements prohibit [querying a resource without a status parameter], they **SHALL** follow the guidelines here.
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-0065
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 searches where the Client does not supply a status parameter, an implementation’s business rules may override the FHIR RESTful search expectations and require a status parameter to be provided
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-0066
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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows: **SHALL** return an HTTP 400 status
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-0067
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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows: **SHALL** return an [OperationOutcome](http://hl7.org/fhir/R4/operationoutcome.html) specifying that status(es) must be present.
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-0068
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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows: **SHALL** support search with status if status required
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot
    l: requirements-statementshallnot
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0069
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: **SHALL NOT** restrict search results ( i.e., apply ‘hidden’ filters) when a Client includes status parameters in the query.
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-0070
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 systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried, it **SHOULD** return an HTTP 200 status with a search bundle.
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-0071
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 systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle **SHOULD** contain resources matching the search criteria
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-0072
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 systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle **SHOULD** contain ... an OperationOutcome warning the Client which status code value is not supported.
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-0073
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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:... **SHALL** document this behavior in its CapabilityStatement for the “search-type” interaction in `CapabilityStatement.rest.resource.interaction.documentation.`
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-0074
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 an element is Mandatory, the data is expected always to be present.
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-0075
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 querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…: US Core Responders **SHALL** be capable of populating all data elements as part of the query results specified by the [US Core Server Capability Statement](https://hl7.org/fhir/us/core/STU8/CapabilityStatement-us-core-Server.html).
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot
    l: requirements-statementshallnot
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0078
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: **SHALL NOT** include the data elements in the resource instance returned as part of the query results.
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-0080
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 querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…: In cases where information on a specific data element is missing, and the US Core Responder knows the precise reason for the absence of data (other than suppressed data), US Core Responders **SHOULD** send the reason for the missing information.
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-0081
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: [When sending reason for missing information, follow] the same methdology outlined in the [Missing Data](https://hl7.org/fhir/us/core/STU8/general-requirements.html#missing-data) section but using the appropriate reason code instead of unknown [reason code].
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-0084
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: Implementors [US Core Responders] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as Must Support elements as documented above and below;
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-0086
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: Implementors [US Core Responders] [not] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as … optional.
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-0087
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 Must Support 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 Server **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-0090
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 Must Support, then the Server **SHALL** be capable of providing the element value to meet the Must Support 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-0091
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: [W]hen claiming conformance [to a profile with a must support primitive element] … US Core responders **SHALL** be capable of providing the value [of the primitive 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-0093
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 Must Support, the Server **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-0094
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 any sub-element is marked as Must Support [for a complex element], it must also meet the Must Support requirements and satisfy the Must Support 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-0095
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: [I]f any sub-element is marked as Must Support or Additional USCDI [for a complex element] and the parent element is not, there is no expectation that you must support the parent.
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-0096
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 Must Support [for a complex element] and the parent element is not… [and] the parent element is represented in the structure, Servers **SHALL** support the sub-element(s) marked as Must Support.
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-0097
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 claiming conformance [to a must support complex element with no must support sub-elements] … US Core Responders **SHALL** be capable of providing a value in [the] sub-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-0099
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 claiming conformance [to a must support complex element with one or more must support sub-elements] … US Core Responders **SHALL** be capable of providing a value in [each must support sub-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-0101
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: Systems [US Core Responders] can support the other elements [of a complex element, not labeled as a Must Support], but this is not a requirement of 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-0103
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: The U.S. Core Data for Interoperability (USCDI) may require additional elements, [which is a requirement for certification in the ONC IT Health Certification program, but not a requirement of US Core conformance for US Core Responders]
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-0105
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: In certain profiles, only specific resource references are labeled as Must Support. ... - US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [all listed Must Support profile(s).]
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-0107
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: Systems [US Core Responders] can support other [resource] references [other than those labeled as Must Support], but this is not a requirement of 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-0109
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: In specific profiles, only a single resource reference is present on an element labeled Must Support. ... - US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [the Must Support Profile.]
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-0111
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 a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support … When claiming conformance to [such a] profile: - US Core Responders **SHALL** be capable of populating [the Must Support data type choice]
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-0114
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: [If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support[, or a profile has] an Additional USCDI element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Additional USCDI … [US Core Responders] **MAY** support populating ... other [data type] choice elements (such as Observation.effectivePeriod), but this is not a requirement of 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-0115
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: There are several instances in this Guide where there is a choice of supporting one or another profile element to meet the Must Support or Additional USCDI requirement. In such cases, the Server or Certifying System **SHALL** support at least one 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-0117
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: An individual SMART Server will publish a granular list of its capabilities, and a set of these capabilities is combined to support a specific use, a Capability Set. See SMART App Launch’s [FHIR OAuth authorization Endpoints and Capabilities](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities) for more details. Servers **MAY** support ... [any] SMART on FHIR Capability Sets and capabilities [(see [FHIR OAuth authorization Endpoints and Capabilities](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities))]
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-0118
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: At least one of the following SMART on FHIR Capability Sets **SHOULD** be supported for US Core Servers that support User-Facing Applications ... [Patient Access Standalone Apps](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps) [Clinician Access for EHR Launch](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)
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-0119
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 certified systems[, those participating in the ONC IT Health Certification program], both **SHALL** be supported: [Patient Access Standalone Apps](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps) [Clinician Access for EHR Launch](http://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)
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-0120
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 [US Core Responders] supporting Backend Services ... **SHALL** include support for the Client-confidential-asymmetric capability.
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-0121
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 [US Core Responders] supporting Backend Services ... **SHALL** include support for the ... system/scopes.
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-0123
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: US Core Server[s] **SHALL** support token introspection defined by the SMART App Launch Guide. For more details and additional consideration, see SMART App Launch’s [Token Introspection](http://hl7.org/fhir/smart-app-launch/STU2/token-introspection.html#token-introspection).
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-0125
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: Other systems only need to support scopes for the US Core APIs they support [instead of all US Core's required scopes]
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-0126
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: Servers **MAY** support other scopes in addition to those listed below and in the Quick Start sections.
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-0128
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 “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the [capability sets](https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets) above). For example, if a Server lists permission-patient and permission-user in its capabilities, it **SHALL** support both patient-level and user-level required scopes
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-0129
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 “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the [capability sets](https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets) above). For example, if a Server lists permission-patient and permission-user in its capabilities, it ... **SHOULD** support both patient-level and user-level recommended best-practice scopes
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-0130
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 “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes **SHALL** support the required US Core scopes
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-0131
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 “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes **SHOULD** support the recommended US Core scopes
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-0132
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] AllergyIntolerance [the] <patient|user|system>/AllergyIntolerance.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0133
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] CarePlan [the] <patient|user|system>/CarePlan.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0134
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] CareTeam [the] <patient|user|system>/CareTeam.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0135
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Condition [the] <patient|user|system>/Condition.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0136
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Coverage [the] <patient|user|system>/Coverage.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0137
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Device [the] <patient|user|system>/Device.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0138
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] DiagnosticReport [the] <patient|user|system>/DiagnosticReport.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0139
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] DocumentReference [the] <patient|user|system>/DocumentReference.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0140
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Encounter [the] <patient|user|system>/Encounter.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0141
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Goal [the] <patient|user|system>/Goal.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0142
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Immunization [the] <patient|user|system>/Immunization.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0143
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] MedicationDispense [the] <patient|user|system>/MedicationDispense.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0144
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] MedicationRequest [the] <patient|user|system>/MedicationRequest.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0145
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0146
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Organization [the] <patient|user|system>/Organization.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0147
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Patient [the] <patient|user|system>/Patient.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0148
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Practitioner [the] <patient|user|system>/Practitioner.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0149
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] PractitionerRole [the] <patient|user|system>/PractitionerRole.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0150
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Procedure [the] <patient|user|system>/Procedure.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0151
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Provenance [the] <patient|user|system>/Provenance.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0152
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] QuestionnaireResponse [the] <patient|user|system>/QuestionnaireResponse.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0153
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] RelatedPerson [the] <patient|user|system>/RelatedPerson.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0154
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] ServiceRequest [the] <patient|user|system>/ServiceRequest.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0155
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: The following scopes that correspond directly to FHIR resource types **SHALL** be supported ... [For] Specimen [the] <patient|user|system>/Specimen.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0156
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: The following scopes that correspond directly to FHIR resource types **MAY** be supported ... [For] Location [the] <patient|user|system>/Location.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0157
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: The following scopes that correspond directly to FHIR resource types **MAY** be supported ... [For] Medication [the] <patient|user|system>/Medication.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0158
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: The following granular scopes **SHALL** be supported ... [For] Condition [the] <patient|user|system>/Condition.rs?category=http://hl7.org/fhir/us/core/CodeSystem/condition-category|health-concern [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0159
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: The following granular scopes **SHALL** be supported ... [For] Condition [the] <patient|user|system>/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|encounter-diagnosis [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0160
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: The following granular scopes **SHALL** be supported ... [For] Condition [the] <patient|user|system>/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0161
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: The following granular scopes **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-category|sdoh [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0162
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: The following granular scopes **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org//CodeSystem-observation-category|social-history [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0163
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: The following granular scopes **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0164
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: The following granular scopes **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|survey [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0165
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: The following granular scopes **SHALL** be supported ... [For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0166
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: The following granular scopes **SHOULD** be supported ... [For] DocumentReference [the] <patient|user|system>/DocumentReference.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category|clinical-note [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes]
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-0167
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: In addition to the capabilities defined in the Server’s CapabilityStatement, Servers **SHALL** document their SMART capabilities in their [Well-Known Uniform Resource Identifiers (URIs)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known) JSON file.
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-0168
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: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client may request.... The Server **SHALL** list all the required US Core Scopes for the US Core Profiles they support in the scopes_supported array
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-0169
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: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client may request. The Server [MAY support] additional scopes (so Clients should not consider … [the required scopes] an exhaustive list).
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-0170
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: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client may request. Servers **MAY** limit Clients’ scopes to those configured at registration time.
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-0171
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: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client may request. … Servers **SHALL** allow users to select a subset of the requested scopes at the approval time.
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-0173
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: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `introspection_endpoint` the URL to a Server’s introspection endpoint. ... Servers **SHALL** document this endpoint in the file
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-0174
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: Therefore, a [reference](http://hl7.org/fhir/R4/references.html) to a US Core resource **SHOULD** include a logical id (Reference.reference), not an identifier (Reference.identifier).
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-0175
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 all references, US Core Responders **SHOULD** return resources that conform to a US Core profile if a US Core profile exists for the resource type.
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-0176
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When responding to a query, Servers **SHOULD** not use inline [contained](http://hl7.org/fhir/R4/references.html#contained) resources to represent the returned data.
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-0177
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: [I]f referencing a contained resource in a US Core Profile, the contained resource **SHOULD** be a US Core Profile if a US Core Profile exists for the resource type.
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-0178
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: [M]asking data [where a specific piece of data is hidden for security and privacy reasons] **SHOULD** be handled based on implemented policies.
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-0179
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: [When masking data] elements with a minimum cardinality = 0 (including elements labeled Must Support) [for security and privacy reasons], the element **SHOULD** be omitted from the resource.
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-0180
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: [When masking] Mandatory elements (in other words, where the minimum cardinality is > 0) [for security and privacy reasons, use the code “unknown” following the guidance on Missing Data in the Conformance Sections.
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-0181
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: [When using SNOMED codes in US Core Profiles I]mplementers **MAY** use the default system URI [of [SNOMED CT](http://snomed.info/sct)], which refers to an unspecified edition/version [of SNOMED]
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-0182
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: [To enable] terminology Servers to be able to validate US Edition-only codes [of [SNOMED CT](http://snomed.info/sct)], implementers **SHOULD** provide the accompanying system URI to describe the edition [see example 2 on [US Core general guidance](https://hl7.org/fhir/us/core/STU8/general-guidance.html#snomed-ct-united-states-edition)]
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-0183
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: [If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [then] systems should also use UCUM for the optional valueRange and valueRatio datatypes (which are complex datatypes with Quantity elements)
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-0184
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: [If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [when] UCUM code [is] provided [it **SHOULD** be indicated in the Quantity.unit and Quantity.code elements with Quantity.system = "http://unitsofmeasure.org"]
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-0185
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: [If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [then] if UCUM units are unavailable, represent units in the unit 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-0186
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: **SHOULD NOT** supply the unit field]
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-0187
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: A FHIR Server **SHOULD** not delete 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-0188
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: A FHIR Server **SHOULD** update the appropriate resource status to entered-in-error or inactive [when requested to delete 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-0189
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: If a system supports the deletion of records, they **SHOULD** refer to the [Deletion Safety Checks](http://hl7.org/fhir/R4/safety.html#conformance) in the FHIR specification.
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-0190
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: A FHIR Server **SHOULD** allow these resources [those entered in error] to be searchable by Client applications.
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-0191
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: If the FHIR Server has updated the resource status to entered-in-error: For patient facing applications, A FHIR Server **SHOULD** remove the resource’s contents, leaving only an id and status. Note that this typically will not conform to the US Core or FHIR StructureDefinitions.
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-0192
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: If the FHIR Server has updated the resource status to entered-in-error: ... For provider-facing applications, the content may be supplied with content and additional detail (such as the reason for the status change) that the patient viewing system would typically not have access to.
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-0193
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: the data provider **SHOULD** do their best to translate (safely) to the requested language [when accessing records in a native or requested language]
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-0195
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: [When Clients request a resource in a specific language] Servers **SHOULD** make reasonable efforts to translate what can be safely translated.
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-0196
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: [When Clients request a resource in a specific language] Servers **SHOULD** populate the Resource’s language element with a code based on the underlying language of record, not the requested language.
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-0197
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: [When Clients request a resource in a specific language] Servers **SHOULD** … [use] the [Human Language](http://hl7.org/fhir/R4/extension-language.html) Extension when the language of a display, etc, is known to differ from the stated (or inferred) language.
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-0198
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: [When Clients request a resource in a specific language] [Servers **SHOULD** use] the [Translation](http://hl7.org/fhir/R4/extension-translation.html) Extension when the Server provides additional translations by its own choice or in response to a different Accept-Language than what the resource is stored in.
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-0199
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: [When Clients request a resource in a specific language] Servers **SHOULD** make it known what languages are supported in their CapabilityStatement(s) using this extension: http://hl7.org/fhir/5.0/StructureDefinition/extension-CapablilityStatement.acceptLanguage [[definition](https://hl7.org/fhir/R5/capabilitystatement-definitions.html#CapabilityStatement.acceptLanguage)]
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-0200
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: Servers **SHOULD** support the [_lastUpdated](http://hl7.org/fhir/R4/search.html#lastUpdated) search parameter for US Core Profiles
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-0201
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: Servers ... **SHOULD** populate [Resource.meta.lastUpdated](http://hl7.org/fhir/R4/resource.html#Meta) for US Core Profiles as accurately as possible.
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-0202
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: Servers **SHALL** document in CapabilityStatement.rest.resource.searchParam.documentation the types of changes that can be detected using the _lastUpdated search parameter
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-0203
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: US Core Servers [MAY support compartment based searchs, but] are not required to support patient [compartment](http://hl7.org/fhir/R4/compartmentdefinition.html) based searches.
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-0204
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: US Core Servers [MAY resolve absolute URLs, but] are not required to resolve absolute URLs external to their environment.
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-0205
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: Servers can [MAY] choose to return the results in a series of pages to manage the number of search results returned.
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-0206
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Consultation Note (11488-4)](https://loinc.org/11488-4.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-0207
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Discharge Summary (18842-5)](https://loinc.org/18842-5.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-0208
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [History & Physical Note (34117-2)](https://loinc.org/34117-2.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-0209
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Procedures Note (28570-0)](https://loinc.org/28570-0.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-0210
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Progress Note (11506-3)](https://loinc.org/11506-3.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-0211
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Imaging Narrative (18748-4)](https://loinc.org/18748-4.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-0212
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Laboratory Report Narrative (11502-2)](https://loinc.org/11502-2.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-0213
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: Servers **SHALL** support, at minimum, these … "Common Clinical Notes": [Pathology Report Narrative (11526-1)](https://loinc.org/11526-1.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-0214
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: Servers **SHALL** support, at minimum, these … DiagnosticReport categories: [Cardiology (LP29708-2)](https://loinc.org/LP29708-2)
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-0215
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: Servers **SHALL** support, at minimum, these … DiagnosticReport categories: [Pathology (LP7839-6)](https://loinc.org/LP7839-6)
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-0216
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: Servers **SHALL** support, at minimum, these … DiagnosticReport categories: [Radiology (LP29684-5)](https://loinc.org/LP29684-5)
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-0217
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: systems are encouraged to support other common notes types, such as: [Referral Note (57133-1)](https://loinc.org/57133-1.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-0219
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: systems are encouraged to support other common notes types, such as: [Nurse Note (34746-8)](https://loinc.org/34746-8.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-0220
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: To enable consistent access to scanned DiagnosticReport clinical reports, the FHIR Server **SHALL** expose these overlapping scanned or narrative-only reports through both DiagnosticReport and DocumentReference by representing the same attachment URL [as] DocumentReference.content.attachment.url [and] DiagnosticReport.presentedForm.url
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-0221
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 DiagnosticReport.presentedForm.url references a Scan (PDF), that Attachment **SHALL** also be accessible through DocumentReference.content.attachment.url
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-0222
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: Systems [Servers] may extend their capabilities [around types of clinical notes] to the complete US Core DocumentReference Type Value Set.
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-0223
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: This guide requires [Server] systems to implement the [US Core DocumentReference Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-documentreference.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-0224
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: This guide requires [Server] systems to implement the [US Core DiagnosticReport Profile for Report and Note exchange](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-diagnosticreport-note.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-0225
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: Systems [Servers] may support other [DiagnosticReport] categories as well.
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-0227
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: The following **SHOULD** be exposed via DiagnosticReport: Imaging Narrative
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-0228
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: The following **SHOULD** be exposed via DiagnosticReport: Laboratory Report Narrative
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-0229
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: The following **SHOULD** be exposed via DiagnosticReport: Pathology Report Narrative
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-0230
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: The following **SHOULD** be exposed via DiagnosticReport: Procedure Note
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-0231
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: Servers that support DiagnosticReport will include the clinical note narrative content in `DiagnosticReport.presentedForm`
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-0233
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: FHIR Server claiming support to this guide **SHOULD** support the $expand operation [[operation link](http://hl7.org/fhir/R4/valueset-operation-expand.html) to provide information to Clients requesting information on the note and report types the Server supports]
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-0234
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=outgoing for DiagnosticReport report category discovery [for read operations]
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-0235
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=incoming for DiagnosticReport report category discovery [for write operations]
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-0236
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=outgoing for DiagnosticReport report type discovery [for read operations]
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-0237
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=incoming for DiagnosticReport report type discovery [for write operations]
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-0238
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=outgoing for DocumentReference note category discovery [for read operations]
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-0239
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=incoming for DocumentReference note category discovery [for write operations]
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-0240
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=outgoing for DocumentReference note type discovery [for read operations]
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-0241
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=incoming for DocumentReference note type discovery [for write operations]
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-0242
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=outgoing for DiagnosticReport report content type discovery [for read operations]
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-0243
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=incoming for DiagnosticReport report content type discovery [for write operations]
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-0244
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&contextDirection=outgoing for DocumentReference note content type discovery [for read operations]
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-0245
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: [If Servers support the [$expand] (http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: GET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&contextDirection=incoming for DocumentReference note content type discovery [for write operations]
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-0246
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: [The [MedicationAdministration](http://hl7.org/fhir/R4/medicationadministration.html) and [MedicationStatement](http://hl7.org/fhir/R4/medicationstatement.html)] medication resources are not profiled by US Core, and systems that support US Core are permitted to use them
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-0247
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 using a code [to represent a medication][, the code **SHALL** follow the [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) binding rules to [Medication Clinical Drug (RxNorm)](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion) - i.e., unless RxNorm does not cover the concept, the RxNorm code **SHALL** be used.
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-0248
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: USCDI recommends the [National Drug Codes (NDC)](https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory) as an optional medication terminology. They can be supplied as an additional coding element [when representing a medication]
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-0249
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: When referencing the Medication resource, the resource may be included in the returned bundle, as an external resource, or as a [contained](http://hl7.org/fhir/R4/references.html#contained) resource if it can’t stand alone. … The Server application **MAY** choose any combination of these methods
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-0250
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 external reference to Medication is used, the Server **SHALL** support the [_include](http://hl7.org/fhir/R4/search.html#include) parameter for searching this 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-0252
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: A MedicationRequest resource query **SHALL** be all that is required to access "all medications" or "all active medications" for a patient. (In other words, no other medication resource type needs to be fetched)
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-0253
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: The [MedicationRequest resource] query result **SHALL** include all MedicationRequest resources with a `MedicationRequest.intent` = "order" representing authorized medication orders directly derived from the system's orders.
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-0254
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: The [MedicationRequest resource] query result **SHALL** include all prescribed and "self-prescribed" MedicationRequest resources with a `MedicationRequest.intent` = "plan" representing reported medications.
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-0256
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: Servers **SHALL** use the `MedicationRequest.reported[x]` element to indicate that the MedicationRequest record was captured as a secondary "reported" record rather than an original primary source-of-truth record.
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-0257
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: Servers [MAY] use the `MedicationRequest.reported[x]` element to indicate ... the source of the report.
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-0258
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: When recording "self-prescribed" medication, Servers **SHOULD** use the `MedicationRequest.requester` element to indicate the Patient or RelatedPerson is the prescriber.
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-0259
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: Servers **SHOULD** support the encounter search parameter.
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-0260
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: [If Servers support the encounter search parameter, s]earching by encounter will return all medications ordered during that encounter, including medications administered in the hospital and prescribed or discharge medications intended to be taken at home.
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-0262
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: Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient: Servers **MAY** support the search parameters `category`and `encounter`. This search will return all medications ordered during an encounter for a given MedicationRequest.category such as "inpatient".
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-0263
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: To provide a list of a patient’s medications, it may be necessary to “de-duplicate” them. The de-duplication activity **MAY** be supplied by the Server
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-0267
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: An agent.type=”assembler”, agent.type=”transmitter”, or other agents from [Provenance Agent Type](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-provenance-participant-type.html) value set **MAY** also be included.
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-0268
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: implementers [of US Core's framework of Screening and Assessments] **SHOULD** consider more constrained, domain-specific profiles derived from the US Core Profiles to meet the needs of their respective use cases.
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-0269
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: Every Server that supports the USDCI Data Class “Health Status/Assessments”: **SHALL** support representing clinical judgments using [US Core Condition Problems and Health Concerns Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-condition-problems-health-concerns.html) or [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.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-0270
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: Every Server that supports the USDCI Data Class “Health Status/Assessments”: ... The US Core Simple Observation Profile's Observation.derivedFrom element **SHOULD** reference the [Structured Screening and Assessment](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments) upon which clinical judgment observations are made
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-0271
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: Every Server that supports the USDCI Data Class “Health Status/Assessments”: ... the US Core Condition Profile's Condition.evidence.detail element **SHOULD** reference the [Structured Screening and Assessment](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments) which assist in diagnosing problems or health concerns.
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-0272
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 API developers using US Core, it’s important to understand when to use the QuestionnaireResponse versus Observation to represent structured assessments and surveys. Here are some guidelines to help choose the appropriate profile: Observations represent specific point-in-time facts that need to be searched, trended, the subject of statistical analysis, and directly referenced in support of other actions ... anything that meets one of the preceding criteria must be surfaced as an Observation.
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-0280
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: Implementers **SHOULD** treat these [USCDI Health Status Assessments Data Element] value sets as having an [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) binding.
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-0281
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: when recording SDOH data [with] US Core Profiles, Servers **SHOULD** use … [Social Determinants of Health Conditions Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion), [Social Determinants of Health Procedures Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.789/expansion), [Social Determinants of Health Goals Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion), [and] [Social Determinants of Health Service Requests Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.790/expansion)
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-0287
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: Servers **SHOULD** maintain a stable common identifier for a resource across [FHIR] versions.
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-0288
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: In an upgraded R4 endpoint, any data in FHIR DSTU2 **SHOULD** be in FHIR R4.
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-0289
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: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation
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-0290
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: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of] MedicationStatement may be deprecated, and the data **SHOULD** be mapped to MedicationRequest.
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-0291
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: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of] Care teams as represented by CarePlan in DSTU2 **SHOULD** be replaced by and the data mapped to CareTeam in R4
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-0295
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: Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows.
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-0296
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: Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of] MedicationStatement data [should be] mapped to MedicationRequest
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-0297
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: Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of] care teams, as represented by CarePlan, **SHOULD** be mapped to CareTeam in R4
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-0298
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: Data **SHOULD** be maintained between [FHIR] versions (i.e., not be degraded).
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-0300
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: To allow Clients to use a single authorization token when accessing resources from multiple version-specific endpoints, Servers **SHOULD** use the same base authorization endpoint across versions.
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-0302
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: [The clinical status of the allergy] **SHALL** be present if verification status is not “entered-in-error”
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot
    l: requirements-statementshallnot
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0303
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [The clinical status of the allergy] **SHALL NOT** be present if verification Status is “entered-in-error”
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-0305
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: Profile Specific Implementation Guidance: No Known Allergies may be represented using the US Core-AllergyIntolerance profile
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-0306
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 used No Known Allergies is documented the system Shall use an] appropriate negation code in AllergyIntolerence.code
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-0307
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 used No Known Allergies is documented the system Shall use an] verification status in AllergyIntolerance.verificationStatus
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-0308
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: If a patient has not been asked about their allergies, this would be represented as: AllergyIntolerance.code = “1631000175102” (Patient not asked (contextual qualifier) (qualifier value)) AllergyIntolerance.verificationStatus = “unconfirmed” or empty (in other words, then element omitted)
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-0309
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: If a patient has been asked, but has indicated they have no known allergies, this would be represented as: AllergyIntolerance.code = “716186003” (No known allergy (situation)) AllergyIntolerance.verificationStatus = “confirmed”
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-0310
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: Considerations for systems aligning with [HL7 Consolidated (C-CDA)](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: US Core Goal **SHOULD** be present in CarePlan.goal
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-0311
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: Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: ... US Core Condition **SHOULD** be present in CarePlan.addresses
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-0312
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: Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: Assessment and Plan **MAY** be included as narrative in CarePlan.text
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-0313
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: Although both US Core Practitioner Profile and US Core PractitionerRole are Must Support, ... Server system[s conforming to the US Core CareTeam profile are] ... not required to support references to both, but **SHALL** support at least one of them
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-0317
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: [When conforming to the US Core CareTeam profile] Because the US Core PractitionerRole Profile supplies the provider’s location and contact information and a reference to the Practitioner, Server systems [conforming to the US Core CareTeam profile] **SHOULD** reference it instead of the US Core Practitioner Profile [when conforming to the US Core CareTeam profile] .
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-0318
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: Servers [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL** provide implementation-specific guidance on how to access a provider’s location ... information using only the Practitioner resource.
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-0319
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: Servers [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL** provide implementation-specific guidance on how to access a provider’s ... contact information using only the Practitioner resource.
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-0320
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 Problems and Health Concerns [records, systems **SHOULD**] use the [US Core Condition Problems and Health Concerns Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-condition-problems-health-concerns.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-0321
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: [Newly created Encounter Diagnosis records **SHALL** have a] Condition.code … [from the] [“current”](https://hl7.org/fhir/R5/terminologies.html#binding) … [value set] binding.
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-0322
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: [Historical Encounter Diagnosis records **MAY** have a] Condition.code … [from the] base “preferred” … [value set] binding.
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-0323
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: USCDI’s applicable vocabulary standards for Encounter Diagnosis are SNOMED CT and ICD-10-CM. The US Core Condition Codes only supports ICD-9-CM for historical purposes. When using ICD codes, only non-header ICD-10-CM codes **SHOULD** be used as the primary code for current encounter diagnoses.
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-0324
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: [A US Core Condition Encounter Diagnosis] encounter **SHOULD** always be referenced in Condition.encounter.
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-0330
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 Encounter Diagnosis [records, systems **SHOULD**] use the [US Core Condition Encounter Diagnosis Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-condition-encounter-diagnosis.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-0331
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: If the category is "problem-list-item", Condition.clinicalStatus **SHOULD** be present.
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-0332
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: Updates to .meta.lastUpdated **SHOULD** reflect: New problems and health concerns
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-0333
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: Updates to .meta.lastUpdated **SHOULD** reflect: Changes in the clinical status or verifications status of problems or health concerns.
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-0334
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: A coverage.type of “81” (Self-pay) **MAY** be used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs.
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-0335
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: Implementers should refer to the [PHDSC Payer Type Committee User’s Guide](https://www.nahdo.org/sites/default/files/2020-12/SourceofPaymentTypologyUsersGuideVersion9.2December2020.pdf) for the Source of Payment Typology when selecting 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-0336
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: To differentiate Medicare Parts A, B, C, and D systems can use the following codes [when sending Coverage.type]: [For] Part A and B [use] 121 (Medicare Fee For Service)
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-0337
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: To differentiate Medicare Parts A, B, C, and D systems can use the following codes: [For] Part C (Medicare Advantage Plan) [use] 111 (Medicare HMO), 112 (Medicare PPO), 113 (Medicare POS)
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-0338
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: To differentiate Medicare Parts A, B, C, and D systems can use the following codes: [For] Part D [use] 122 (Medicare Drug Benefit)
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-0339
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: If Insurers issue unique member IDs for dependents, then the memberId Coverage.identifier should be used [with the unique dependent ID] instead of Coverage.dependent to uniquely refer to the dependent with respect to their insurance.
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-0340
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 non-implantable devices (for example, software or crutches), use the base FHIR Device resource or other use case-specific Device profiles.
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-0341
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: Implementers are encouraged to use the FDA Global UDI Database (GUDID) and associated APIs to parse and validate the [unique device ID] UDI
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-0342
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: Implantable medical devices with UDI information **SHALL** represent the UDI code in Device.udiCarrier.carrierHRF
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-0343
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: UDI-PI elements present [in Device.udiCarrier.carrierHRF] **SHALL** be represented in the corresponding US Core Implantable Device Profile elements
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-0344
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: If UDI is not present and the manufacturer … is available, … [it] **SHOULD** be included to support historical reports of implantable medical devices [where] manufacturer [is sent in] Device.manufacturer
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-0345
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: If UDI is not present and the ... model number information is available, … [it] **SHOULD** be included to support historical reports of implantable medical devices [where] model [is sent in] Device.model
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-0346
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: Servers SHOULD support query by Device.type to allow Clients to request the patient’s devices by a specific type.
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-0347
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: Records of implanted devices **MAY** be queried against UDI data, including: UDI HRF string (udi-carrier)
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-0348
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: Records of implanted devices **MAY** be queried against UDI data, including:UDI Device Identifier (udi-di)
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-0349
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: Records of implanted devices **MAY** be queried against UDI data, including: Manufacturer (manufacturer)
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-0350
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: Records of implanted devices **MAY** be queried against UDI data, including: Model number (model)
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-0351
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: Implementers **MAY** also adopt custom SearchParameters for searching by lot numbers
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-0352
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: Implementers **MAY** also adopt custom SearchParameters for searching by serial number
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-0353
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: Implementers **MAY** also adopt custom SearchParameters for searching by expiration date
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-0354
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: Implementers **MAY** also adopt custom SearchParameters for searching by manufacture date
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-0355
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: Implementers **MAY** also adopt custom SearchParameters for searching by distinct identifier
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-0356
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: The diagnostically relevant time (known as the “effective time” and typically the time of specimen collection) … **SHALL** be present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’.
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-0357
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 the report was released … **SHALL** be present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’.
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-0358
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: Updates to .meta.lastUpdated **SHOULD** reflect New laboratory reports.
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-0359
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: Updates to .meta.lastUpdated **SHOULD** reflect changes in the status of laboratory reports, including events that trigger the same status (e.g., amended → amended).
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-0360
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: The DiagnosticReport.category binding Must Support, at a minimum, the US Core DiagnosticReport Category Codes of Cardiology, Radiology, and Pathology
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-0361
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: Other [diagnostic report] categories may be supported [when using US Core DiagnosticReport Profile for Report and Note Exchange]
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-0362
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: [L]inkages between specific LOINC codes and the LP-type codes may be used as guidance [for a Server's categorization of diagnostic reports]
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-0364
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 Diagnostic Imaging Reports systems **SHOULD** support using the subset of LOINC codes defined in CONF-DIR-19 in HL7 Implementation Guide for CDA Release 2: Imaging Integration, Levels 1, 2, and 3, Basic Imaging Reports in CDA and DICOM Diagnostic Imaging Reports (DIR) - Universal Realm, Release 1.0.
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-0365
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: The DocumentReference.type binding Must Support, at a minimum, the 10 [Common Clinical Notes](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-documentreference.html#mandatory-and-must-support-data-elements)
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-0366
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: The DocumentReference.type binding may extend to the whole [US Core DocumentReference Type Value Set](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-documentreference-type.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-0367
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: [DocumentReference.type may also use] other category schemes such as the LOINC-based [Document Class Value Set](http://hl7.org/fhir/R4/valueset-document-classcodes.html) and [IHE XDSclassCode](https://wiki.ihe.net/index.php/XDS_classCode_Metadata_Coding_System)
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-0368
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: Although both [DocumentReference.attachment.url and DocumentReference.attachment.data] are marked as Must Support, the Server system is not required to support an address and inline base64 encoded data, but **SHALL** support at least one of these elements.
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-0372
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 there are multiple DocumentReference.content element repetitions, these **SHALL** all represent the same document in different formats or attachment metadata
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot
    l: requirements-statementshallnot
  value: Boolean
    v: true
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0373
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The [documentReference.content] element **SHALL NOT** contain different versions of the same content.
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-0374
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: The organization responsible for the DocumentReference **SHALL** be present either in DocumentReference.custodian or accessible in the Provenance resource targeting the DocumentReference using Provenance.agent.who or Provenance.agent.onBehalfOf
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-0375
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: Although ... marked as Must Support, Servers are not required to support both [an Encounter.reasonCode or a reference with Encounter.reasonReference], but they **SHALL** support at least one of these elements.
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-0378
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: If Encounter.reasonReference references an Observation, it **SHOULD** conform to a US Core Observation [profile applicable to the observation being made]
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-0379
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: Although … marked as Must Support, Servers are not required to support both Encounter.location.location and Encounter.serviceProvider, but they **SHALL** support at least one of these elements.
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-0382
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 the event facility/location differs from the Encounter.location, systems **SHOULD** reference it directly
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-0383
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 the event facility/location differs from the Encounter.location, … systems **SHALL** use the location element for all resources where the element is available.
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-0384
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: If the event facility/location differs from the Encounter.location … systems **MAY** use the standard [Event Location Extension](http://hl7.org/fhir/StructureDefinition/event-location) for US Core DiagnosticReport Profile for Laboratory Results Reporting and US Core Observation Clinical Result Profile.
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-0385
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: Updates to .meta.lastUpdated **SHOULD** reflect New encounters/visits
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-0386
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: Updates to .meta.lastUpdated **SHOULD** reflect changes in the status of encounters, including events that trigger the same status (e.g., in-progress → in-progress).
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-0387
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: Although both Goal.startDate and Goal.target.dueDate are marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0390
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: [Servers shall] use the status code: not-done to represent that an immunization was not given.
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-0391
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 organization participating in the ONC Health IT Certification program] [CVX vaccine codes](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp) are required
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-0392
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: [NDC vaccine codes](http://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp) **SHOULD** be supported as an additional code [of [CVX Vaccine Codes](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp)]
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-0393
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: The preferred code system identifier … is [http://hl7.org/fhir/sid/cvx](http://hl7.org/fhir/sid/cvx) for CVX [vaccine 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-0394
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: The preferred code system identifier … is [http://hl7.org/fhir/sid/ndc](http://hl7.org/fhir/sid/ndc) for NDC vaccine 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-0395
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: Systems **SHOULD** 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 Location.address.line
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-0396
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: Systems **SHOULD** 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 Location.address.city
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-0397
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 using a code [to represent a medication for a medication dispense], RXNorm concepts are used.
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-0398
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: When using a code [to represent a medication for a medication dispense], [National Drug Codes (NDC)](https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory) can be supplied as an additional coding 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-0399
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: When referencing a Medication resource in .medicationReference, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained)
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-0400
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: When referencing a Medication resource in .medicationReference, the resource may be an external resource
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-0401
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: The Server systems are not required to support both a [medication] code and a reference [when sending medicationDispense], but **SHALL** support at least one of these methods
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-0402
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 external reference to a Medication resource is used, the Server **SHALL** support the [_include](http://hl7.org/fhir/R4/search.html#include) parameter for searching this 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-0405
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 organization participating in the ONC Health IT Certification program Servers **SHALL** support the [additional USCDI requirement](https://hl7.org/fhir/us/core/STU8/must-support.html#additional-uscdi-requirements):], The reason or indication for the prescription
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-0406
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 organization participating in the ONC Health IT Certification program Servers **SHALL** support the [additional USCDI requirement](https://hl7.org/fhir/us/core/STU8/must-support.html#additional-uscdi-requirements):] reported adherence to prescribed medication instructions
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-0407
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: When recording “self-prescribed” medication, requester **SHOULD** be used to indicate the Patient or RelatedPerson as the prescriber
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-0408
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: Although [medicationRequest.reportedBoolean and MedicationRequest.reportedReference] are both marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these elements
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-0411
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: Although both MedicationRequest.reasonCode and MedicationRequest.reasonReference are marked as Additional USCDI Requirements [which are required for organizations participating in the ONC Health IT Certification program]. The certifying Server system is not required to support both, but **SHALL** support at least one of these elements
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-0414
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 organizations participating in the ONC Health IT Certification program and supporting MedicationRequest.reasonReference,] Servers **SHALL** support at least one target resource in MedicationRequest.reasonReference
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-0416
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 organizations participating in the ONC Health IT Certification program,] the referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-profiles).
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-0417
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: Source EHR identifiers **SHOULD** be included to support deduplication across MedicationRequest resources.
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-0419
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: The observations **MAY** have additional codes that translate or map to the Observation code or category codes [such as] … local system-specific codes [and] …more specific 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-0420
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 an Observation a] code system value **SHOULD** be supplied for each additional code
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-0421
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: Because the blood pressure values are communicated in the mandatory systolic and diastolic components [when using the US Core Average Blood Pressure Profile,] the Observation.value[x] element **SHALL** be omitted
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-0422
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: The context or precondition of a patient’s [care experience] preference **SHOULD** be supplied in the Observation.valueString or in an extension
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-0423
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: Servers **SHOULD** use the base FHIR [Observation Category Codes] (http://hl7.org/fhir/R4/valueset-observation-category.html) [in Observation.category]
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-0424
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: Systems **SHOULD** support Observation.effectivePeriod to accurately represent measurements over time
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-0425
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: An Observation.component without a value, **SHALL** include a reason why the data is absent
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-0426
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: Systems that never provide a component observation without a component value … [MAY choose not] to support Observation.component.dataAbsentReason
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-0427
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: An Observation without a value, **SHALL** include a reason why the data is absent
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-0428
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] an Observation without a value … [Systems **MAY** choose not to] include a reason why the data is absent … [if] there are component observations or … reporting panel observations using Observation.hasMember
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-0429
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: Systems that never provide an observation without a value ... [MAY choose not] to support Observation.dataAbsentReason
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-0430
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: [When sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated **SHOULD** reflect new laboratory observations
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-0431
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: [When sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated **SHOULD** reflect changes in the status of laboratory observations, including events that trigger the same status (e.g., amended → amended)
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-0432
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 sending US Core Observation Occupation Profile] for … [a] current job, [Servers SHALL] omit observation.effectivePeriod.end to indicate it is ongoing.
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-0433
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 the industry is known, but the occupation is not, [Servers SHALL] use the value “unknown” from the [DataAbsentReason Code System](http://hl7.org/fhir/R4/codesystem-data-absent-reason.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-0434
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 the occupation is known but the industry is not, [Servers SHALL] omit the industry Observation.component
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-0435
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: To represent the patient’s pregnancy status, [Servers SHALL] use the [US Core Observation Pregnancy Status Profile](https://hl7.org/fhir/us/core/StructureDefinition-us-core-observation-pregnancystatus.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-0436
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: To represent the patient’s intent to become pregnant, [Servers SHALL] use the [US Core Observation Pregnancy Intent Profile](https://hl7.org/fhir/us/core/StructureDefinition-us-core-observation-pregnancyintent.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-0437
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] multi-question surveys or assessments Observation.code is an overarching assessment or screening code, and the Observation.value element **SHOULD** be empty
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-0438
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: A practitioner’s clinical observation or assertion about a patient’s health status, which is not a response to a screening or assessment question,SHOULD use the [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/StructureDefinition-us-core-simple-observation.html) instead [of the US Core Observation Screening Assessment Profile]
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-0439
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: the Server system ... **SHALL** support [either] Reference(US Core Observation Screening Assessment Profile) or Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom
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-0440
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: Additional codes that translate or map to the Observation code (e.g., local codes) are allowed [when using US Core Observation Sexual Orientation Profile]
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-0441
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: Observations formally part of an assessment tool or survey **SHOULD** use the [US Core Observation Screening Assessment Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-observation-screening-assessment.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-0442
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: An assertion or determination derived from screening and assessment tools **SHOULD** reference them using Observation.derivedFrom
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-0443
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: When using `Observation.derivedFrom’ to reference an Observation, the referenced Observation **SHOULD** be a US Core Observation
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-0444
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: Although none of the Observation.derivedFrom [references are flagged as Must Support](https://hl7.org/fhir/us/core/STU8/must-support.html#must-support---resource-references), the Server **SHALL** support at least one of them
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-0445
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: [US Core] treatment intervention preferences expressed by a patient may be documented in narrative (text) form or the result of selecting from a list of options provided by the content creator/implementer.
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-0446
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: [When using US Core Treatment Intervention Preference Profile] the context or precondition of a patient’s preference **SHOULD** be supplied in the Observation.valueString ... or an extension
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-0447
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: [US Core Vital Signs] observations **MAY** have [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations … [see] FHIR core specification [vital signs table](http://hl7.org/fhir/R4/observation-vitalsigns.html#vitals-table) for examples
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-0448
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: Information about the growth chart tables used to determine percentiles **SHOULD** be supplied in Observation.note.text
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-0449
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: [In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] the Observation.value[x] element **SHOULD** be omitted
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-0450
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: [In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] an Observation without a systolic or diastolic result value, **SHALL** include a reason why the data is absent in Observation.component.dataAbsentReason
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-0451
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: [In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] All Server systems - including those that never provide a component observation without a value - **SHALL** support Observation.component.dataAbsentReason for the components.
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-0452
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: Inspired oxygen therapy may be represented with [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations when measured at the same time as the pulse oximetry measurements [in the US Core Pulse Oximetry profile]
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-0453
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: Many pulse oximetry readings are taken while the patient is breathing room air. The concept of “room air” (unmodified, ambient air) **SHOULD** be represented as an inhaled oxygen flow rate of 0 liters/min
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-0454
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: A pulse oximetry reading without inspired oxygen component observations may imply that the measurement was performed while the patient was breathing room air or that the inspired oxygen reading was omitted. To remove this uncertainty, the inspired oxygen [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations **SHOULD** be used [when using the US Core Pulse Oximetry profile.]
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-0455
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: Systems **SHALL** support National Provider Identifier (NPI) for organizations
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-0456
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: Systems … **SHOULD** the National Association of Insurance Commissioners NAIC Company code (sometimes called “NAIC Number” or “cocode”) for payers.
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-0457
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: Systems … **SHOULD** support Clinical Laboratory Improvement Amendments (CLIA) for laboratories
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-0458
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: Systems **SHOULD** 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 Organization.address.line and Organization.address.city
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-0459
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: The Complex [Extension] for Race ... allow[s] for one or more codes of which [Must Support](https://hl7.org/fhir/us/core/STU8/must-support.html) at least one category code from the OMB Race ... Category Value Sets that draw from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [for the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0460
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: The Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which [Must Support](https://hl7.org/fhir/us/core/STU8/must-support.html) at least one category code from the OMB ... Ethnicity Category Value Sets that draw from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [for the [US Core Ethnicity Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-ethnicity.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-0461
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: The Complex [Extension] for Race ... allow[s] for one or more codes of which **MAY** include additional codes from the detailed ethnicity ... value sets drawn from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0462
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: The Complex [Extension] for Race ... allow[s] for one or more codes of which **SHALL** include a text description [of category codes when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0463
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: The Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which **MAY** include additional codes from the detailed ... race value sets drawn from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0464
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: The Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which **SHALL** include a text description [of category codes when using the [US Core Ethnicity Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-ethnicity.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-0466
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: Previous name is represented by setting Patient.name.use to “old” or providing an end date in Patient.name.period or doing both
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-0467
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: Previous address is represented by setting Patient.address.use to “old” or providing an end date in Patient.address.period or doing both.
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-0470
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: Non-certifying systems[, systems that are not participating in the ONC Health IT certification program,] **SHOULD** 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-0471
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 systems participating in the ONC Health IT certification program,] this requirement [to 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) for Patient.address.line and Patient.address.city] does not apply to historical records or documents that are exposed through FHIR-based APIs. [Organizations **MAY** choose not to use use Project US@ Technical Specification for Patient Addresses Final Version 1.0 when sending historical 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-0472
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: **SHOULD NOT** be used as a patient identifier in Patient.identifier.value
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-0473
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: Servers that support only the US Core Practitioner Profile and do not support the [US Core PractitionerRole Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitionerrole.html) **SHALL** provide implementation-specific guidance on how to access a provider’s location and contact information using only the Practitioner resource.
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-0474
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: Although Practitioner.address is marked as Must Support, the Server system … [MAY choose not to] support it if they support the US Core PractitionerRole Profile
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-0475
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 using the US Core Practioner Profile] Practitioner.address … **SHALL**[be supported] if … [the Server does] not support the US Core PractitionerRole Profile
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-0477
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: Only professional/work contact information about the practitioner **SHOULD** be available to the patient
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-0478
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: Systems **SHOULD** 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 Practitioner.address.line and Practitioner.address.city.
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-0479
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: Procedure codes … [MAY] be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT, or LOINC [for procedure.code]
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-0480
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: [If using LOINC codes in procedure.code] only LOINC concepts that reflect actual procedures **SHOULD** be used
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-0481
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: communication.preferred **MAY** designate a preferred language when multiple languages are represented
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-0482
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 organizations participating in the ONC Health IT Certification program] Servers … **SHALL** support ... US Core Procedure Profile for communicating the reason or justification for a referral as Additional USCDI Requirements
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-0484
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 organizations participating in the ONC Health IT Certification program,] although both Procedure.reasonCode and Procedure.reasonReference are marked as Additional USCDI Requirements, the certifying Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0486
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 organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference Servers **SHALL** support at least one target resource in Procedure.reasonReference
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-0488
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 organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference …The referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-profiles)
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-0489
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type AllergyIntolerance
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-0490
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type CarePlan
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-0491
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type CareTeam
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-0492
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Condition
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-0493
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Coverage
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-0494
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Device
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-0495
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type DiagnosticReport
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-0496
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Document Reference
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-0497
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Encounter
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-0498
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Goal
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-0499
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Immunization
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-0500
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type MedicationDispense
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-0501
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type MedicationRequest
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-0502
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Observation
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-0503
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Patient
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-0504
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type Procedure
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-0505
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type QuestionnaireResponse
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-0506
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type RelatedPerson
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-0507
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: The US Core Provenance resource **SHALL** be supported for … [this] US Core resource type ServiceRequest
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-0508
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 a system receives a provider in Provenance.agent.who as free text, they must capture [the organization] who sent them the information [and upon] request ... **SHALL** provide this organization as the source
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-0509
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: If a system receives a provider in Provenance.agent.who as free text, … [upon request they] **MAY** include the free text provider.
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-0510
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: Systems that need to know the activity has occurred **SHOULD** populate the activity [Provenance.activity]
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-0511
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 the QuestionnaireResponse is based on a non-FHIR form [then a] ... FHIR Questionnaire [needs to] represent at least the relevant metadata
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-0512
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: If the QuestionnaireResponse is based on a non-FHIR form [then a] … FHIR Questionnaire's questions may be omitted
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-0513
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: Systems **SHOULD** 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 RelatedPerson.address.line and RelatedPerson.address.city
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-0514
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: The Must Support `ServiceRequest.category` is bound, at a minimum, to the [US Core ServiceRequest Category Codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-servicerequest-category.html), and other category codes can be used.
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-0515
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: The ServiceRequest.code value ... **SHOULD** be constrained to a subset for a particular use case or domain
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-0516
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 organizations participating in the ONC Health IT Certification program] Servers … **SHALL** support ... US Core Service Request Profile for communicating the reason or justification for a referral as Additional USCDI Requirements
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-0518
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 organizations participating in the ONC Health IT Certification program,] although both ServiceRequest.reasonCode and ServiceRequest.reasonReference are marked as Additional USCDI Requirements, the certifying Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0520
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 organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference Servers **SHALL** support at least one target resource in ServiceRequest.reasonReference
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-0522
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 organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference …The referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-profiles)
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-0523
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: Since the binding [for Specimen.type and additional USCDI elements] is [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) when a code is unavailable, just text is allowed [and conformant].
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-0524
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: Although both Specimen.identifier and Specimen.accessionIdentifier are marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0532
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: [Servers] **SHOULD** Support the ... [SMART App Launch version 2.0.0 and later](http://hl7.org/fhir/smart-app-launch/history.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-0533
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: US Core Server **SHALL** support the US Core Patient resource profile
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-0534
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: US Core Server **SHALL** support … at least one additional resource profile [in addition to the US Core Patient resource profile] from the list of US Core Profiles
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-0535
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: US Core Server **SHALL**… Implement the RESTful behavior according to the FHIR specification.
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-0536
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: US Core Server **SHALL**… return the following response class (Status 400) [for] invalid parameters
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-0537
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: US Core Server **SHALL**… return the following response class (Status 401/4xx) [for] unauthorized request
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-0538
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: US Core Server **SHALL**… return the following response class (Status 403) [for] insufficient scopes
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-0539
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: US Core Server **SHALL**… return the following response class (Status 404) [for] unknown resource
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-0540
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: US Core Server **SHALL**… support JSON source formats for all US Core interactions.
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-0541
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: US Core Server **SHOULD** … support XML source formats for all US Core interactions.
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-0542
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: US Core Server **SHOULD** … identify the US Core profiles supported as part of the FHIR meta.profile attribute for each instance.
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-0543
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 **SHALL** reject any unauthorized requests by returning an HTTP 401 "Unauthorized", HTTP 403 "Forbidden", or HTTP 404 "Not Found"
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-0548
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: [US Core Servers] **SHOULD** support [$expand](http://hl7.org/fhir/OperationDefinition/ValueSet-expand) operation
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-0549
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: If a Server supports DocumentReference for creating, using, and sharing clinical notes, it **SHOULD** also support the context and contextdirection parameters of the $expand operation
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-0550
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: Systems **SHALL** establish a risk analysis and management regime that conforms with HIPAA security regulatory requirements
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-0552
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: US Federal systems **SHOULD** conform with the risk management and mitigation requirements defined in NIST 800 series documents.
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-0554
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: US Federal systems … **SHOULD** include security category assignment following NIST 800-60 vol. 2 Appendix D.14.
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-0556
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: The coordination of risk management and the related security and privacy controls … **SHOULD** be defined in the Business Associate Agreement when available.
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-0558
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: Systems **SHALL** reference a single time source to establish a common time base for security auditing and clinical data records among computing 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-0560
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: The selected time service **SHOULD** be documented in the Business Associate Agreement when available.
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-0562
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: Systems **SHALL** keep audit logs of the various transactions.
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-0564
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: Systems **SHALL** use TLS version 1.2 or higher for all transmissions not taking place over a secure network connection.
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-0566
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: US Federal systems **SHOULD** conform with FIPS PUB 140-2.
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-0568
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: Systems **SHALL** conform to [FHIR Communications Security](http://hl7.org/fhir/R4/security.html#http) requirements.
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-0570
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 Authentication and Authorization, Systems **SHALL** support any [SMART App Launch Version 2.0.0](http://hl7.org/fhir/smart-app-launch/history.html) for Client <-> Server interactions.
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-0572
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: Systems **SHALL** implement consent requirements per their state, local, and institutional policies.
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-0574
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: The Business Associate Agreements **SHOULD** document systems’ mutual consent requirements.
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-0576
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: Systems **SHOULD** provide Provenance statements using the [US Core Provenance Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-provenance.html) resource and associated requirements.
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement