US Core Implementation Guide
10.0.0-ballot - STU 10 Ballot
US Core Implementation Guide
10.0.0-ballot - STU 10 Ballot
US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 10.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 3 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Requirements/us-core-server> a fhir:Requirements ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "us-core-server"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b style=\"color: maroon\">Exception parsing generated Narrative (see /tmp/liquid-f1a5653b-983e-4e88-944e-b46b208a8fab.html): Unable to read attribute on <patient> at line 1344 column 40</b></p></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ; fhir:Extension.valueCode [ fhir:value "cgp" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ; fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core" ; fhir:link <http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core> ] ] ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ; fhir:Extension.valueCode [ fhir:value "trial-use" ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ; fhir:Extension.valueCanonical [ fhir:value "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core" ; fhir:link <http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core> ] ] ] ] ; fhir:Requirements.url [ fhir:value "http://hl7.org/fhir/us/core/Requirements/us-core-server"] ; fhir:Requirements.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.2.36.3" ] ] ; fhir:Requirements.version [ fhir:value "10.0.0-ballot"] ; fhir:Requirements.name [ fhir:value "USCoreServerRequirements"] ; fhir:Requirements.title [ fhir:value "US Core Server Requirements"] ; fhir:Requirements.status [ fhir:value "draft"] ; fhir:Requirements.date [ fhir:value "2026-09-11T01:56:27+00:00"^^xsd:dateTime] ; fhir:Requirements.publisher [ fhir:value "HL7 International / Cross-Group Projects"] ; fhir:Requirements.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "HL7 International / Cross-Group Projects" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cgp" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "cgp@lists.HL7.org" ] ] ] ; fhir:Requirements.description [ fhir:value "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 Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification (g)(10) certification."] ; fhir:Requirements.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "US" ] ] ] ; fhir:Requirements.actor [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/display" ] ; fhir:Extension.valueString [ fhir:value "US Core Requestor (Server)" ] ] ] ; fhir:Requirements.statement [ fhir:index 0 ; fhir:Requirements.statement.key [ fhir:value "CONF-0001" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-only-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0001" ] ] ] ], [ fhir:index 1 ; fhir:Requirements.statement.key [ fhir:value "CONF-0002" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-only-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0002" ] ] ] ], [ fhir:index 2 ; fhir:Requirements.statement.key [ fhir:value "CONF-0003" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **MAY** deploy and support one or more US Core Profiles to represent clinical information" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0003" ] ] ] ], [ fhir:index 3 ; fhir:Requirements.statement.key [ fhir:value "CONF-0004" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Server **MAY** deploy and support ... the following US Core interaction: “Quick Start” defined for each Profile" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0004" ] ] ] ], [ fhir:index 4 ; fhir:Requirements.statement.key [ fhir:value "CONF-0005" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Server **MAY** deploy and support ... the following US Core interaction: [Clinical Notes](https://hl7.org/fhir/us/core/clinical-notes.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0005" ] ] ] ], [ fhir:index 5 ; fhir:Requirements.statement.key [ fhir:value "CONF-0006" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Server **MAY** deploy and support ... the following US Core interaction: [Medication List](https://hl7.org/fhir/us/core/medication-list.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0006" ] ] ] ], [ fhir:index 6 ; fhir:Requirements.statement.key [ fhir:value "CONF-0007" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Server **MAY** deploy and support ... the following US Core interaction: [Basic Provenance](https://hl7.org/fhir/us/core/basic-provenance.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0007" ] ] ] ], [ fhir:index 7 ; fhir:Requirements.statement.key [ fhir:value "CONF-0008" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Server **MAY** deploy and support ... the following US Core interaction: [Screening and Assessments](https://hl7.org/fhir/us/core/screening-and-assessments.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0008" ] ] ] ], [ fhir:index 8 ; fhir:Requirements.statement.key [ fhir:value "CONF-0009" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0009" ] ] ] ], [ fhir:index 9 ; fhir:Requirements.statement.key [ fhir:value "CONF-0010" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers implementing ... [interactions] can claim conformance to the ... RESTful interactions defined by implementing all or parts of the US Core CapabilityStatement into their capabilities" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#profile-support--interaction-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0010" ] ] ] ], [ fhir:index 10 ; fhir:Requirements.statement.key [ fhir:value "CONF-0013" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[To claim conformance to a US Core Profile] a conformant Server: \n\n**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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#claiming-conformance-to-a-us-core-profile" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0013" ] ] ] ], [ fhir:index 11 ; fhir:Requirements.statement.key [ fhir:value "CONF-0014" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[To claim conformance to a US Core Profile] a conformant Server: \n\n**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`" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#claiming-conformance-to-a-us-core-profile" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0014" ] ] ] ], [ fhir:index 12 ; fhir:Requirements.statement.key [ fhir:value "CONF-0015" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL** specify the full capability details from the US Core CapabilityStatement it claims to implement." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#claiming-conformance-to-a-us-core-profile" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0015" ] ] ] ], [ fhir:index 13 ; fhir:Requirements.statement.key [ fhir:value "CONF-0016" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL**… Declare support for the US Core Profile by including its official URL in the Server’s CapabilityStatement.rest.resource.supportedProfile element." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#claiming-conformance-to-a-us-core-profile" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0016" ] ] ] ], [ fhir:index 14 ; fhir:Requirements.statement.key [ fhir:value "CONF-0017" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL**… Declare support for the US Core Profile’s FHIR RESTful transactions." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#claiming-conformance-to-a-us-core-profile" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0017" ] ] ] ], [ fhir:index 15 ; fhir:Requirements.statement.key [ fhir:value "CONF-0018" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#required-bindings-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0018" ] ] ] ], [ fhir:index 16 ; fhir:Requirements.statement.key [ fhir:value "CONF-0019" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#required-bindings-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0019" ] ] ] ], [ fhir:index 17 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Requirements.statement.key [ fhir:value "CONF-0020" ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#required-bindings-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0020" ] ] ] ], [ fhir:index 18 ; fhir:Requirements.statement.key [ fhir:value "CONF-0021" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#required-bindings-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0021" ] ] ] ], [ fhir:index 19 ; fhir:Requirements.statement.key [ fhir:value "CONF-0023" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[Extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) means that one of the codes from the specified value set **SHALL** be used when an appropriate concept exists;…" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0023" ] ] ] ], [ fhir:index 20 ; fhir:Requirements.statement.key [ fhir:value "CONF-0024" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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 used.." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0024" ] ] ] ], [ fhir:index 21 ; fhir:Requirements.statement.key [ fhir:value "CONF-0026" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD-NOT" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "For `CodeableConcept` [with an [extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) … Text-only representation **SHOULD NOT** be used - coded values are expected whenever possible to support interoperability." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0026" ] ] ] ], [ fhir:index 22 ; fhir:Requirements.statement.key [ fhir:value "CONF-0027" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "When claiming conformance to ... [to a US Core profile extensible binding rule, a] US Core Responders **SHALL** provide:\nA code from … [the] valueset 'DataElement.code.code' if the concept exists in the valueset [for a DataElement.code that has an extensible binding]\nOr an alternative code if the concept does not exist in the valueset [for a DataElement.code that has an extensible binding]\nOr text in ... `[DataElement.code.text]’ if only text is available [for a DataElement.code that has an extensible binding]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0027" ] ] ] ], [ fhir:index 23 ; fhir:Requirements.statement.key [ fhir:value "CONF-0029" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Alternate codes **MAY** be provided in addition to the standard codes defined in required or extensible ValueSets. These alternate codes are called \"additional codings\"." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#translations" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0029" ] ] ] ], [ fhir:index 24 ; fhir:Requirements.statement.key [ fhir:value "CONF-0030" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[The additional codings] **MAY** be equivalent to or narrower in meaning than the standard concept code." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#translations" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0030" ] ] ] ], [ fhir:index 25 ; fhir:Requirements.statement.key [ fhir:value "CONF-0033" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Not all modifier elements are Mandatory or Must Support, and there is no requirement for supporting them" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#modifier-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0033" ] ] ] ], [ fhir:index 26 ; fhir:Requirements.statement.key [ fhir:value "CONF-0034" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **MAY** communicate a system-wide profile in their CapabilityStatement to identify which additional elements, including modifier elements, they support" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#modifier-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0034" ] ] ] ], [ fhir:index 27 ; fhir:Requirements.statement.key [ fhir:value "CONF-0039" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0039" ] ] ] ], [ fhir:index 28 ; fhir:Requirements.statement.key [ fhir:value "CONF-0040" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0040" ] ] ] ], [ fhir:index 29 ; fhir:Requirements.statement.key [ fhir:value "CONF-0041" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0041" ] ] ] ], [ fhir:index 30 ; fhir:Requirements.statement.key [ fhir:value "CONF-0042" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0042" ] ] ] ], [ fhir:index 31 ; fhir:Requirements.statement.key [ fhir:value "CONF-0043" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes):\nFor Coding datatypes, the text-only data is represented as a display element" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0043" ] ] ] ], [ fhir:index 32 ; fhir:Requirements.statement.key [ fhir:value "CONF-0044" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0044" ] ] ] ], [ fhir:index 33 ; fhir:Requirements.statement.key [ fhir:value "CONF-0045" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0045" ] ] ] ], [ fhir:index 34 ; fhir:Requirements.statement.key [ fhir:value "CONF-0046" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0046" ] ] ] ], [ fhir:index 35 ; fhir:Requirements.statement.key [ fhir:value "CONF-0047" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0047" ] ] ] ], [ fhir:index 36 ; fhir:Requirements.statement.key [ fhir:value "CONF-0048" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0048" ] ] ] ], [ fhir:index 37 ; fhir:Requirements.statement.key [ fhir:value "CONF-0049" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0049" ] ] ] ], [ fhir:index 38 ; fhir:Requirements.statement.key [ fhir:value "CONF-0050" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#missing-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0050" ] ] ] ], [ fhir:index 39 ; fhir:Requirements.statement.key [ fhir:value "CONF-0051" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0051" ] ] ] ], [ fhir:index 40 ; fhir:Requirements.statement.key [ fhir:value "CONF-0052" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For all the supported search interactions in this guide, Servers **SHALL** also support the `GET`-based search." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0052" ] ] ] ], [ fhir:index 41 ; fhir:Requirements.statement.key [ fhir:value "CONF-0055" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0055" ] ] ] ], [ fhir:index 42 ; fhir:Requirements.statement.key [ fhir:value "CONF-0058" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0058" ] ] ] ], [ fhir:index 43 ; fhir:Requirements.statement.key [ fhir:value "CONF-0061" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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`" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0061" ] ] ] ], [ fhir:index 44 ; fhir:Requirements.statement.key [ fhir:value "CONF-0062" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#fhir-restful-search-api-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0062" ] ] ] ], [ fhir:index 45 ; fhir:Requirements.statement.key [ fhir:value "CONF-0063" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** support a query for resources without requiring a status parameter." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0063" ] ] ] ], [ fhir:index 46 ; fhir:Requirements.statement.key [ fhir:value "CONF-0064" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If business requirements prohibit [querying a resource without a status parameter], they **SHALL** follow the guidelines here." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0064" ] ] ] ], [ fhir:index 47 ; fhir:Requirements.statement.key [ fhir:value "CONF-0065" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0065" ] ] ] ], [ fhir:index 48 ; fhir:Requirements.statement.key [ fhir:value "CONF-0066" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\n\n**SHALL** return an HTTP 400 status" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0066" ] ] ] ], [ fhir:index 49 ; fhir:Requirements.statement.key [ fhir:value "CONF-0067" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\n\n**SHALL** return an [OperationOutcome](http://hl7.org/fhir/R4/operationoutcome.html) specifying that status(es) must be present." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0067" ] ] ] ], [ fhir:index 50 ; fhir:Requirements.statement.key [ fhir:value "CONF-0068" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\n\n**SHALL** support search with status if status required" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0068" ] ] ] ], [ fhir:index 51 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Requirements.statement.key [ fhir:value "CONF-0069" ] ; fhir:Requirements.statement.requirement [ fhir:value " **SHALL NOT** restrict search results ( i.e., apply ‘hidden’ filters) when a Client includes status parameters in the query." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0069" ] ] ] ], [ fhir:index 52 ; fhir:Requirements.statement.key [ fhir:value "CONF-0070" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0070" ] ] ] ], [ fhir:index 53 ; fhir:Requirements.statement.key [ fhir:value "CONF-0071" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0071" ] ] ] ], [ fhir:index 54 ; fhir:Requirements.statement.key [ fhir:value "CONF-0072" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0072" ] ] ] ], [ fhir:index 55 ; fhir:Requirements.statement.key [ fhir:value "CONF-0073" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:...\n\n**SHALL** document this behavior in its CapabilityStatement for the “search-type” interaction in `CapabilityStatement.rest.resource.interaction.documentation.`" ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#search-for-Servers-requiring-status" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0073" ] ] ] ], [ fhir:index 56 ; fhir:Requirements.statement.key [ fhir:value "CONF-0075" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nUS 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)." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0075" ] ] ] ], [ fhir:index 57 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Requirements.statement.key [ fhir:value "CONF-0078" ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value " **SHALL NOT** include the data elements in the resource instance returned as part of the query results." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0078" ] ] ] ], [ fhir:index 58 ; fhir:Requirements.statement.key [ fhir:value "CONF-0080" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nIn 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." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-el+D647ements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0080" ] ] ] ], [ fhir:index 59 ; fhir:Requirements.statement.key [ fhir:value "CONF-0081" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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]." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0081" ] ] ] ], [ fhir:index 60 ; fhir:Requirements.statement.key [ fhir:value "CONF-0084" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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;" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#additional-uscdi-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0084" ] ] ] ], [ fhir:index 61 ; fhir:Requirements.statement.key [ fhir:value "CONF-0086" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementors [US Core Responders] [not] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as … optional." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#additional-uscdi-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0086" ] ] ] ], [ fhir:index 62 ; fhir:Requirements.statement.key [ fhir:value "CONF-0087" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#defined-pattern-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0087" ] ] ] ], [ fhir:index 63 ; fhir:Requirements.statement.key [ fhir:value "CONF-0090" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---primitive-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0090" ] ] ] ], [ fhir:index 64 ; fhir:Requirements.statement.key [ fhir:value "CONF-0091" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---primitive-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0091" ] ] ] ], [ fhir:index 65 ; fhir:Requirements.statement.key [ fhir:value "CONF-0093" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For any complex element marked as Must Support, the Server **SHALL** be capable of providing at least one of the sub-element values." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0093" ] ] ] ], [ fhir:index 66 ; fhir:Requirements.statement.key [ fhir:value "CONF-0094" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "If any sub-element is marked as Must Support [for a complex element], it **SHALL** also meet the Must Support requirements and satisfy the Must Support requirements for the parent element." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0094" ] ] ] ], [ fhir:index 67 ; fhir:Requirements.statement.key [ fhir:value "CONF-0095" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0095" ] ] ] ], [ fhir:index 68 ; fhir:Requirements.statement.key [ fhir:value "CONF-0096" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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 present in an instance, Servers **SHALL** support the sub-element(s) marked as Must Support." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0096" ] ] ] ], [ fhir:index 69 ; fhir:Requirements.statement.key [ fhir:value "CONF-0097" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0097" ] ] ] ], [ fhir:index 70 ; fhir:Requirements.statement.key [ fhir:value "CONF-0099" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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]" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0099" ] ] ] ], [ fhir:index 71 ; fhir:Requirements.statement.key [ fhir:value "CONF-0101" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0101" ] ] ] ], [ fhir:index 72 ; fhir:Requirements.statement.key [ fhir:value "CONF-0105" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When a Reference type element is labeled as *Must Support*, has multiple target profiles referenced, and specific targets are labeled as *Must Support*,\"\n...\n\n- US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [all listed Must Support profile(s).]" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---resource-references" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0105" ] ] ] ], [ fhir:index 73 ; fhir:Requirements.statement.key [ fhir:value "CONF-0107" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---resource-references" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0107" ] ] ] ], [ fhir:index 74 ; fhir:Requirements.statement.key [ fhir:value "CONF-0109" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When a Reference type element is labeled as *Must Support* and has a single target profile referenced\n...\n- US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [the Must Support Profile.]" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---resource-references" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0109" ] ] ] ], [ fhir:index 75 ; fhir:Requirements.statement.key [ fhir:value "CONF-0111" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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\n… When claiming conformance to [such a] profile:\n\n- US Core Responders **SHALL** be capable of populating [the Must Support data type choice]" ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---choice-of-data-types" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0111" ] ] ] ], [ fhir:index 76 ; fhir:Requirements.statement.key [ fhir:value "CONF-0114" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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\n\n…\n\n[US Core Responders] **MAY** support populating ... other [data type] choice elements (such as Observation.effectivePeriod), but this is not a requirement of US Core." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---choice-of-data-types" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0114" ] ] ] ], [ fhir:index 77 ; fhir:Requirements.statement.key [ fhir:value "CONF-0115" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---choice-of-profile-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0115" ] ] ] ], [ fhir:index 78 ; fhir:Requirements.statement.key [ fhir:value "CONF-0117" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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](https://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](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities))]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#capability-sets" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0117" ] ] ] ], [ fhir:index 79 ; fhir:Requirements.statement.key [ fhir:value "CONF-0118" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "At least one of the following SMART on FHIR Capability Sets **SHOULD** be supported for US Core Servers that support User-Facing Applications ...\n[Patient Access Standalone Apps](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps)\n[Clinician Access for EHR Launch](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#capabilities-for-implementations-supporting-user-facing-applications" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0118" ] ] ] ], [ fhir:index 80 ; fhir:Requirements.statement.key [ fhir:value "CONF-0119" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "For certified systems[, those participating in the ONC IT Health Certification program], both **SHALL** be supported:\n[Patient Access Standalone Apps](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps)\n[Clinician Access for EHR Launch](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#capabilities-for-implementations-supporting-user-facing-applications" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0119" ] ] ] ], [ fhir:index 81 ; fhir:Requirements.statement.key [ fhir:value "CONF-0120" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementations [US Core Responders] supporting Backend Services ... **SHALL** include support for the Client-confidential-asymmetric capability." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#capabilities-for-implementations-supporting-backend-services" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0120" ] ] ] ], [ fhir:index 82 ; fhir:Requirements.statement.key [ fhir:value "CONF-0121" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementations [US Core Responders] supporting Backend Services ... **SHALL** include support for the ... system/scopes." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#capabilities-for-implementations-supporting-backend-services" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0121" ] ] ] ], [ fhir:index 83 ; fhir:Requirements.statement.key [ fhir:value "CONF-0123" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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](https://hl7.org/fhir/smart-app-launch/STU2/token-introspection.html#token-introspection)." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#us-core-Servers-shall-support-token-introspection" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0123" ] ] ] ], [ fhir:index 84 ; fhir:Requirements.statement.key [ fhir:value "CONF-0125" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Other systems **MAY** support scopes for the US Core APIs they support [instead of all US Core's required scopes]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#smart-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0125" ] ] ] ], [ fhir:index 85 ; fhir:Requirements.statement.key [ fhir:value "CONF-0126" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **MAY** support other scopes in addition to those listed below and in the Quick Start sections." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#smart-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0126" ] ] ] ], [ fhir:index 86 ; fhir:Requirements.statement.key [ fhir:value "CONF-0128" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#us-core-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0128" ] ] ] ], [ fhir:index 87 ; fhir:Requirements.statement.key [ fhir:value "CONF-0129" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#us-core-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0129" ] ] ] ], [ fhir:index 88 ; fhir:Requirements.statement.key [ fhir:value "CONF-0130" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#us-core-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0130" ] ] ] ], [ fhir:index 89 ; fhir:Requirements.statement.key [ fhir:value "CONF-0131" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#us-core-scopes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0131" ] ] ] ], [ fhir:index 90 ; fhir:Requirements.statement.key [ fhir:value "CONF-0132" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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] \n" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0132" ] ] ], [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#us-core-scopes" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0132" ] ] ] ], [ fhir:index 91 ; fhir:Requirements.statement.key [ fhir:value "CONF-0133" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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] \n" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0133" ] ] ] ], [ fhir:index 92 ; fhir:Requirements.statement.key [ fhir:value "CONF-0134" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0134" ] ] ] ], [ fhir:index 93 ; fhir:Requirements.statement.key [ fhir:value "CONF-0135" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0135" ] ] ] ], [ fhir:index 94 ; fhir:Requirements.statement.key [ fhir:value "CONF-0136" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0136" ] ] ] ], [ fhir:index 95 ; fhir:Requirements.statement.key [ fhir:value "CONF-0137" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0137" ] ] ] ], [ fhir:index 96 ; fhir:Requirements.statement.key [ fhir:value "CONF-0138" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0138" ] ] ] ], [ fhir:index 97 ; fhir:Requirements.statement.key [ fhir:value "CONF-0139" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0139" ] ] ] ], [ fhir:index 98 ; fhir:Requirements.statement.key [ fhir:value "CONF-0140" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0140" ] ] ] ], [ fhir:index 99 ; fhir:Requirements.statement.key [ fhir:value "CONF-0141" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0141" ] ] ] ], [ fhir:index 100 ; fhir:Requirements.statement.key [ fhir:value "CONF-0142" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0142" ] ] ] ], [ fhir:index 101 ; fhir:Requirements.statement.key [ fhir:value "CONF-0143" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0143" ] ] ] ], [ fhir:index 102 ; fhir:Requirements.statement.key [ fhir:value "CONF-0144" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0144" ] ] ] ], [ fhir:index 103 ; fhir:Requirements.statement.key [ fhir:value "CONF-0145" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0145" ] ] ] ], [ fhir:index 104 ; fhir:Requirements.statement.key [ fhir:value "CONF-0146" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0146" ] ] ] ], [ fhir:index 105 ; fhir:Requirements.statement.key [ fhir:value "CONF-0147" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0147" ] ] ] ], [ fhir:index 106 ; fhir:Requirements.statement.key [ fhir:value "CONF-0148" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0148" ] ] ] ], [ fhir:index 107 ; fhir:Requirements.statement.key [ fhir:value "CONF-0149" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0149" ] ] ] ], [ fhir:index 108 ; fhir:Requirements.statement.key [ fhir:value "CONF-0150" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0150" ] ] ] ], [ fhir:index 109 ; fhir:Requirements.statement.key [ fhir:value "CONF-0151" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0151" ] ] ] ], [ fhir:index 110 ; fhir:Requirements.statement.key [ fhir:value "CONF-0152" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0152" ] ] ] ], [ fhir:index 111 ; fhir:Requirements.statement.key [ fhir:value "CONF-0153" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0153" ] ] ] ], [ fhir:index 112 ; fhir:Requirements.statement.key [ fhir:value "CONF-0154" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0154" ] ] ] ], [ fhir:index 113 ; fhir:Requirements.statement.key [ fhir:value "CONF-0155" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0155" ] ] ] ], [ fhir:index 114 ; fhir:Requirements.statement.key [ fhir:value "CONF-0156" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **MAY** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0156" ] ] ] ], [ fhir:index 115 ; fhir:Requirements.statement.key [ fhir:value "CONF-0157" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **MAY** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0157" ] ] ] ], [ fhir:index 116 ; fhir:Requirements.statement.key [ fhir:value "CONF-0158" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0158" ] ] ] ], [ fhir:index 117 ; fhir:Requirements.statement.key [ fhir:value "CONF-0159" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0159" ] ] ] ], [ fhir:index 118 ; fhir:Requirements.statement.key [ fhir:value "CONF-0160" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0160" ] ] ] ], [ fhir:index 119 ; fhir:Requirements.statement.key [ fhir:value "CONF-0161" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0161" ] ] ] ], [ fhir:index 120 ; fhir:Requirements.statement.key [ fhir:value "CONF-0162" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0162" ] ] ] ], [ fhir:index 121 ; fhir:Requirements.statement.key [ fhir:value "CONF-0163" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0163" ] ] ] ], [ fhir:index 122 ; fhir:Requirements.statement.key [ fhir:value "CONF-0164" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0164" ] ] ] ], [ fhir:index 123 ; fhir:Requirements.statement.key [ fhir:value "CONF-0165" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHALL** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0165" ] ] ] ], [ fhir:index 124 ; fhir:Requirements.statement.key [ fhir:value "CONF-0166" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following granular scopes **SHOULD** be supported\n...\n[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#granular-scopes-for-requesting-fhir-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0166" ] ] ] ], [ fhir:index 125 ; fhir:Requirements.statement.key [ fhir:value "CONF-0167" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#Servers-shall-support-the-following-metadata-in-their-well-knownsmart-configuration" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0167" ] ] ] ], [ fhir:index 126 ; fhir:Requirements.statement.key [ fhir:value "CONF-0168" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#additional-us-core-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0168" ] ] ] ], [ fhir:index 127 ; fhir:Requirements.statement.key [ fhir:value "CONF-0169" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#additional-us-core-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0169" ] ] ] ], [ fhir:index 128 ; fhir:Requirements.statement.key [ fhir:value "CONF-0170" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#additional-us-core-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0170" ] ] ] ], [ fhir:index 129 ; fhir:Requirements.statement.key [ fhir:value "CONF-0171" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#additional-us-core-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0171" ] ] ] ], [ fhir:index 130 ; fhir:Requirements.statement.key [ fhir:value "CONF-0173" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#additional-us-core-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0173" ] ] ] ], [ fhir:index 131 ; fhir:Requirements.statement.key [ fhir:value "CONF-0174" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#referencing-us-core-profiles" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0174" ] ] ] ], [ fhir:index 132 ; fhir:Requirements.statement.key [ fhir:value "CONF-0175" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#referencing-us-core-profiles" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0175" ] ] ] ], [ fhir:index 133 ; fhir:Requirements.statement.key [ fhir:value "CONF-0176" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD-NOT" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#contained-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0176" ] ] ] ], [ fhir:index 134 ; fhir:Requirements.statement.key [ fhir:value "CONF-0177" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#contained-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0177" ] ] ] ], [ fhir:index 135 ; fhir:Requirements.statement.key [ fhir:value "CONF-0178" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[M]asking data [where a specific piece of data is hidden for security and privacy reasons] **SHOULD** be handled based on implemented policies." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#contained-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0178" ] ] ] ], [ fhir:index 136 ; fhir:Requirements.statement.key [ fhir:value "CONF-0179" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#contained-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0179" ] ] ] ], [ fhir:index 137 ; fhir:Requirements.statement.key [ fhir:value "CONF-0180" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#contained-resources" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0180" ] ] ] ], [ fhir:index 138 ; fhir:Requirements.statement.key [ fhir:value "CONF-0181" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#snomed-ct-united-states-edition" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0181" ] ] ] ], [ fhir:index 139 ; fhir:Requirements.statement.key [ fhir:value "CONF-0182" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#snomed-ct-united-states-edition" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0182" ] ] ] ], [ fhir:index 140 ; fhir:Requirements.statement.key [ fhir:value "CONF-0183" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#using-ucum-codes-in-the-quantity-datatype" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0183" ] ] ] ], [ fhir:index 141 ; fhir:Requirements.statement.key [ fhir:value "CONF-0184" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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\"]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#using-ucum-codes-in-the-quantity-datatype" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0184" ] ] ] ], [ fhir:index 142 ; fhir:Requirements.statement.key [ fhir:value "CONF-0185" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#using-ucum-codes-in-the-quantity-datatype" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0185" ] ] ] ], [ fhir:index 143 ; fhir:Requirements.statement.key [ fhir:value "CONF-0186" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD-NOT" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value " **SHOULD NOT** supply the unit field]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#using-ucum-codes-in-the-quantity-datatype" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0186" ] ] ] ], [ fhir:index 144 ; fhir:Requirements.statement.key [ fhir:value "CONF-0187" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD-NOT" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "A FHIR Server **SHOULD** not delete records." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0187" ] ] ] ], [ fhir:index 145 ; fhir:Requirements.statement.key [ fhir:value "CONF-0188" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "A FHIR Server **SHOULD** update the appropriate resource status to entered-in-error or inactive [when requested to delete records]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0188" ] ] ] ], [ fhir:index 146 ; fhir:Requirements.statement.key [ fhir:value "CONF-0189" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0189" ] ] ] ], [ fhir:index 147 ; fhir:Requirements.statement.key [ fhir:value "CONF-0190" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "A FHIR Server **SHOULD** allow these resources [those entered in error] to be searchable by Client applications." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0190" ] ] ] ], [ fhir:index 148 ; fhir:Requirements.statement.key [ fhir:value "CONF-0191" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If the FHIR Server has updated the resource status to entered-in-error:\nFor 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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0191" ] ] ] ], [ fhir:index 149 ; fhir:Requirements.statement.key [ fhir:value "CONF-0192" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If the FHIR Server has updated the resource status to entered-in-error:\n...\nFor 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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#representing-deleted-and-entered-in-error-information" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0192" ] ] ] ], [ fhir:index 150 ; fhir:Requirements.statement.key [ fhir:value "CONF-0193" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "the data provider **SHOULD** do their best to translate (safely) to the requested language [when accessing records in a native or requested language]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0193" ] ] ] ], [ fhir:index 151 ; fhir:Requirements.statement.key [ fhir:value "CONF-0195" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When Clients request a resource in a specific language] Servers **SHOULD** make reasonable efforts to translate what can be safely translated." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0195" ] ] ] ], [ fhir:index 152 ; fhir:Requirements.statement.key [ fhir:value "CONF-0196" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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.\n" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0196" ] ] ] ], [ fhir:index 153 ; fhir:Requirements.statement.key [ fhir:value "CONF-0197" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0197" ] ] ] ], [ fhir:index 154 ; fhir:Requirements.statement.key [ fhir:value "CONF-0198" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0198" ] ] ] ], [ fhir:index 155 ; fhir:Requirements.statement.key [ fhir:value "CONF-0199" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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:\nhttp://hl7.org/fhir/5.0/StructureDefinition/extension-CapablilityStatement.acceptLanguage [[definition](https://hl7.org/fhir/R5/capabilitystatement-definitions.html#CapabilityStatement.acceptLanguage)]" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#language-support" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0199" ] ] ] ], [ fhir:index 156 ; fhir:Requirements.statement.key [ fhir:value "CONF-0200" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** support the [_lastUpdated](http://hl7.org/fhir/R4/search.html#lastUpdated) search parameter for US Core Profiles" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#searching-using-lastupdated" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0200" ] ] ] ], [ fhir:index 157 ; fhir:Requirements.statement.key [ fhir:value "CONF-0201" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers ... **SHOULD** populate [Resource.meta.lastUpdated](http://hl7.org/fhir/R4/resource.html#Meta) for US Core Profiles as accurately as possible." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#searching-using-lastupdated" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0201" ] ] ] ], [ fhir:index 158 ; fhir:Requirements.statement.key [ fhir:value "CONF-0202" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** document in CapabilityStatement.rest.resource.searchParam.documentation the types of changes that can be detected using the _lastUpdated search parameter" ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#searching-using-lastupdated" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0202" ] ] ] ], [ fhir:index 159 ; fhir:Requirements.statement.key [ fhir:value "CONF-0203" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#compartment-based-search" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0203" ] ] ] ], [ fhir:index 160 ; fhir:Requirements.statement.key [ fhir:value "CONF-0204" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "US Core Servers [MAY resolve absolute URLs, but] are not required to resolve absolute URLs external to their environment." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#across-platform-searches" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0204" ] ] ] ], [ fhir:index 161 ; fhir:Requirements.statement.key [ fhir:value "CONF-0205" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers can [MAY] choose to return the results in a series of pages to manage the number of search results returned." ] ; fhir:Requirements.statement.reference [ fhir:value "general-guidance.html#limiting-the-number-of-search-results" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-guidance.html#CONF-0205" ] ] ] ], [ fhir:index 162 ; fhir:Requirements.statement.key [ fhir:value "CONF-0206" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Consultation Note (11488-4)](https://loinc.org/11488-4.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0206" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0206" ] ] ] ], [ fhir:index 163 ; fhir:Requirements.statement.key [ fhir:value "CONF-0207" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Discharge Summary (18842-5)](https://loinc.org/18842-5.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0207" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0207" ] ] ] ], [ fhir:index 164 ; fhir:Requirements.statement.key [ fhir:value "CONF-0208" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[History & Physical Note (34117-2)](https://loinc.org/34117-2.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0208" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0208" ] ] ] ], [ fhir:index 165 ; fhir:Requirements.statement.key [ fhir:value "CONF-0209" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Procedures Note (28570-0)](https://loinc.org/28570-0.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0209" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0209" ] ] ] ], [ fhir:index 166 ; fhir:Requirements.statement.key [ fhir:value "CONF-0210" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Progress Note (11506-3)](https://loinc.org/11506-3.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0210" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0210" ] ] ] ], [ fhir:index 167 ; fhir:Requirements.statement.key [ fhir:value "CONF-0211" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Imaging Narrative (18748-4)](https://loinc.org/18748-4.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0211" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0211" ] ] ] ], [ fhir:index 168 ; fhir:Requirements.statement.key [ fhir:value "CONF-0212" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Laboratory Report Narrative (11502-2)](https://loinc.org/11502-2.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0212" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0212" ] ] ] ], [ fhir:index 169 ; fhir:Requirements.statement.key [ fhir:value "CONF-0213" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Pathology Report Narrative (11526-1)](https://loinc.org/11526-1.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0213" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0213" ] ] ] ], [ fhir:index 170 ; fhir:Requirements.statement.key [ fhir:value "CONF-0214" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Cardiology (LP29708-2)](https://loinc.org/LP29708-2)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0214" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0214" ] ] ] ], [ fhir:index 171 ; fhir:Requirements.statement.key [ fhir:value "CONF-0215" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Pathology (LP7839-6)](https://loinc.org/LP7839-6)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0215" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0215" ] ] ] ], [ fhir:index 172 ; fhir:Requirements.statement.key [ fhir:value "CONF-0216" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Radiology (LP29684-5)](https://loinc.org/LP29684-5)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0216" ] ] ], [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0216" ] ] ] ], [ fhir:index 173 ; fhir:Requirements.statement.key [ fhir:value "CONF-0217" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "systems are encouraged to support other common notes types, such as:\n[Referral Note (57133-1)](https://loinc.org/57133-1.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0217" ] ] ] ], [ fhir:index 174 ; fhir:Requirements.statement.key [ fhir:value "CONF-0219" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "systems are encouraged to support other common notes types, such as:\n[Nurse Note (34746-8)](https://loinc.org/34746-8.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0219" ] ] ] ], [ fhir:index 175 ; fhir:Requirements.statement.key [ fhir:value "CONF-0220" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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] \nDiagnosticReport.presentedForm.url" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#fhir-resources-to-exchange-clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0220" ] ] ] ], [ fhir:index 176 ; fhir:Requirements.statement.key [ fhir:value "CONF-0221" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "when DiagnosticReport.presentedForm.url references a Scan (PDF), that Attachment **SHALL** also be accessible through DocumentReference.content.attachment.url" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#fhir-resources-to-exchange-clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0221" ] ] ] ], [ fhir:index 177 ; fhir:Requirements.statement.key [ fhir:value "CONF-0222" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems [Servers] **MAY** extend their capabilities [around types of clinical notes] to the complete US Core DocumentReference Type Value Set." ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0222" ] ] ] ], [ fhir:index 178 ; fhir:Requirements.statement.key [ fhir:value "CONF-0223" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** implement the [US Core DocumentReference Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-documentreference.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0223" ] ] ] ], [ fhir:index 179 ; fhir:Requirements.statement.key [ fhir:value "CONF-0224" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** implement the [US Core DiagnosticReport Profile for Report and Note exchange](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-diagnosticreport-note.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0224" ] ] ] ], [ fhir:index 180 ; fhir:Requirements.statement.key [ fhir:value "CONF-0225" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems [Servers] **MAY** support other [DiagnosticReport] categories as well." ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0225" ] ] ] ], [ fhir:index 181 ; fhir:Requirements.statement.key [ fhir:value "CONF-0227" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following **SHOULD** be exposed via DiagnosticReport: Imaging Narrative\n" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0227" ] ] ] ], [ fhir:index 182 ; fhir:Requirements.statement.key [ fhir:value "CONF-0228" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following **SHOULD** be exposed via DiagnosticReport: Laboratory Report Narrative\n" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0228" ] ] ] ], [ fhir:index 183 ; fhir:Requirements.statement.key [ fhir:value "CONF-0229" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following **SHOULD** be exposed via DiagnosticReport: Pathology Report Narrative\n" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0229" ] ] ] ], [ fhir:index 184 ; fhir:Requirements.statement.key [ fhir:value "CONF-0230" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following **SHOULD** be exposed via DiagnosticReport: Procedure Note" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0230" ] ] ] ], [ fhir:index 185 ; fhir:Requirements.statement.key [ fhir:value "CONF-0231" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers that support DiagnosticReport **SHALL** include the clinical note narrative content in `DiagnosticReport.presentedForm`" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#support-requirements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0231" ] ] ] ], [ fhir:index 186 ; fhir:Requirements.statement.key [ fhir:value "CONF-0233" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "FHIR Server claiming support to this guide **SHOULD** support the $expand operation [[operation link](http://hl7.org/fhir/R4/valueset-operation-expand.html) to provide information to Clients requesting information on the note and report types the Server supports]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0233" ] ] ] ], [ fhir:index 187 ; fhir:Requirements.statement.key [ fhir:value "CONF-0234" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=outgoing for DiagnosticReport report category discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0234" ] ] ] ], [ fhir:index 188 ; fhir:Requirements.statement.key [ fhir:value "CONF-0235" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=incoming for DiagnosticReport report category discovery [for write operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0235" ] ] ] ], [ fhir:index 189 ; fhir:Requirements.statement.key [ fhir:value "CONF-0236" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=outgoing for DiagnosticReport report type discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0236" ] ] ] ], [ fhir:index 190 ; fhir:Requirements.statement.key [ fhir:value "CONF-0237" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=incoming for DiagnosticReport report type discovery [for write operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0237" ] ] ] ], [ fhir:index 191 ; fhir:Requirements.statement.key [ fhir:value "CONF-0238" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=outgoing for DocumentReference note category discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0238" ] ] ] ], [ fhir:index 192 ; fhir:Requirements.statement.key [ fhir:value "CONF-0239" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=incoming for DocumentReference note category discovery [for write operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0239" ] ] ] ], [ fhir:index 193 ; fhir:Requirements.statement.key [ fhir:value "CONF-0240" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=outgoing for DocumentReference note type discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0240" ] ] ] ], [ fhir:index 194 ; fhir:Requirements.statement.key [ fhir:value "CONF-0241" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=incoming for DocumentReference note type discovery [for write operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#using-expand" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0241" ] ] ] ], [ fhir:index 195 ; fhir:Requirements.statement.key [ fhir:value "CONF-0242" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=outgoing for DiagnosticReport report content type discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#discovering-Server-read-and-write-formats" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0242" ] ] ] ], [ fhir:index 196 ; fhir:Requirements.statement.key [ fhir:value "CONF-0243" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=incoming for DiagnosticReport report content type discovery [for write operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#discovering-Server-read-and-write-formats" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0243" ] ] ] ], [ fhir:index 197 ; fhir:Requirements.statement.key [ fhir:value "CONF-0244" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&contextDirection=outgoing for DocumentReference note content type discovery [for read operations]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#discovering-Server-read-and-write-formats" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0244" ] ] ] ], [ fhir:index 198 ; fhir:Requirements.statement.key [ fhir:value "CONF-0245" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If Servers support the [$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: \nGET [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]" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#discovering-Server-read-and-write-formats" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0245" ] ] ] ], [ fhir:index 199 ; fhir:Requirements.statement.key [ fhir:value "CONF-0247" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#options-for-representing-medication" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0247" ] ] ] ], [ fhir:index 200 ; fhir:Requirements.statement.key [ fhir:value "CONF-0248" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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 **MAY** be supplied as an additional coding element [when representing a medication]" ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#options-for-representing-medication" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0248" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationdispense.html#CONF-0248" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0248" ] ] ], [ fhir:value "StructureDefinition-us-core-medication.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medication.html#CONF-0248" ] ] ] ], [ fhir:index 201 ; fhir:Requirements.statement.key [ fhir:value "CONF-0249" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#options-for-representing-medication" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0249" ] ] ] ], [ fhir:index 202 ; fhir:Requirements.statement.key [ fhir:value "CONF-0250" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#options-for-representing-medication" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0250" ] ] ] ], [ fhir:index 203 ; fhir:Requirements.statement.key [ fhir:value "CONF-0252" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nA 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)" ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0252" ] ] ] ], [ fhir:index 204 ; fhir:Requirements.statement.key [ fhir:value "CONF-0253" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nThe [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." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0253" ] ] ] ], [ fhir:index 205 ; fhir:Requirements.statement.key [ fhir:value "CONF-0254" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nThe [MedicationRequest resource] query result **SHALL** include all prescribed and \"self-prescribed\" MedicationRequest resources with a `MedicationRequest.intent` = \"plan\" representing reported medications." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0254" ] ] ] ], [ fhir:index 206 ; fhir:Requirements.statement.key [ fhir:value "CONF-0256" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nServers **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." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0256" ] ] ] ], [ fhir:index 207 ; fhir:Requirements.statement.key [ fhir:value "CONF-0258" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nWhen recording \"self-prescribed\" medication, Servers **SHOULD** use the `MedicationRequest.requester` element to indicate the Patient or RelatedPerson is the prescriber." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0258" ] ] ] ], [ fhir:index 208 ; fhir:Requirements.statement.key [ fhir:value "CONF-0259" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nServers **SHOULD** support the encounter search parameter. " ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0259" ] ] ] ], [ fhir:index 209 ; fhir:Requirements.statement.key [ fhir:value "CONF-0260" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\n[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." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0260" ] ] ] ], [ fhir:index 210 ; fhir:Requirements.statement.key [ fhir:value "CONF-0262" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nServers **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\"." ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0262" ] ] ] ], [ fhir:index 211 ; fhir:Requirements.statement.key [ fhir:value "CONF-0263" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "medication-list.html#de-duplication-of-data" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "medication-list.html#CONF-0263" ] ] ] ], [ fhir:index 212 ; fhir:Requirements.statement.key [ fhir:value "CONF-0267" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "basic-provenance.html#hie-transformation" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "basic-provenance.html#CONF-0267" ] ] ] ], [ fhir:index 213 ; fhir:Requirements.statement.key [ fhir:value "CONF-0268" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#introduction" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0268" ] ] ] ], [ fhir:index 214 ; fhir:Requirements.statement.key [ fhir:value "CONF-0269" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n\n**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)." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#clinical-judgments" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0269" ] ] ] ], [ fhir:index 215 ; fhir:Requirements.statement.key [ fhir:value "CONF-0270" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nThe 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" ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#clinical-judgments" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0270" ] ] ] ], [ fhir:index 216 ; fhir:Requirements.statement.key [ fhir:value "CONF-0271" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nthe 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." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#clinical-judgments" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0271" ] ] ] ], [ fhir:index 217 ; fhir:Requirements.statement.key [ fhir:value "CONF-0272" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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:\nObservations 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 **SHOULD** be surfaced as an Observation." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#choosing-between-questionnaireresponse-and-observation" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0272" ] ] ] ], [ fhir:index 218 ; fhir:Requirements.statement.key [ fhir:value "CONF-0280" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0280" ] ] ] ], [ fhir:index 219 ; fhir:Requirements.statement.key [ fhir:value "CONF-0281" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)" ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0281" ] ] ] ], [ fhir:index 220 ; fhir:Requirements.statement.key [ fhir:value "CONF-0287" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** maintain a stable common identifier for a resource across [FHIR] versions." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0287" ] ] ] ], [ fhir:index 221 ; fhir:Requirements.statement.key [ fhir:value "CONF-0288" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "In an upgraded R4 endpoint, any data in FHIR DSTU2 **SHOULD** be in FHIR R4." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0288" ] ] ] ], [ fhir:index 222 ; fhir:Requirements.statement.key [ fhir:value "CONF-0289" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation" ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0289" ] ] ] ], [ fhir:index 223 ; fhir:Requirements.statement.key [ fhir:value "CONF-0290" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of]\nMedicationStatement **MAY** be deprecated, and the data **SHOULD** be mapped to MedicationRequest." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0290" ] ] ] ], [ fhir:index 224 ; fhir:Requirements.statement.key [ fhir:value "CONF-0291" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of]\nCare teams as represented by CarePlan in DSTU2 **SHOULD** be replaced by and the data mapped to CareTeam in R4" ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0291" ] ] ] ], [ fhir:index 225 ; fhir:Requirements.statement.key [ fhir:value "CONF-0295" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0295" ] ] ] ], [ fhir:index 226 ; fhir:Requirements.statement.key [ fhir:value "CONF-0296" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\nMedicationStatement data [should be] mapped to MedicationRequest" ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0296" ] ] ] ], [ fhir:index 227 ; fhir:Requirements.statement.key [ fhir:value "CONF-0297" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\ncare teams, as represented by CarePlan, **SHOULD** be mapped to CareTeam in R4" ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0297" ] ] ] ], [ fhir:index 228 ; fhir:Requirements.statement.key [ fhir:value "CONF-0298" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Data **SHOULD** be maintained between [FHIR] versions (i.e., not be degraded)." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#expectation-that-data-is-preserved-between-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0298" ] ] ] ], [ fhir:index 229 ; fhir:Requirements.statement.key [ fhir:value "CONF-0300" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "changes-between-versions.html#authorization-across-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "changes-between-versions.html#CONF-0300" ] ] ] ], [ fhir:index 230 ; fhir:Requirements.statement.key [ fhir:value "CONF-0302" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[The clinical status of the allergy] **SHALL** be present if verification status is not “entered-in-error”" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0302" ] ] ] ], [ fhir:index 231 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Requirements.statement.key [ fhir:value "CONF-0303" ] ; fhir:Requirements.statement.requirement [ fhir:value "[The clinical status of the allergy] **SHALL NOT** be present if verification Status is “entered-in-error”" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0303" ] ] ] ], [ fhir:index 232 ; fhir:Requirements.statement.key [ fhir:value "CONF-0305" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "No Known Allergies **MAY** be represented using the US Core-AllergyIntolerance profile" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0305" ] ] ] ], [ fhir:index 233 ; fhir:Requirements.statement.key [ fhir:value "CONF-0306" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When No Known Allergies is documented the system **SHALL** use an] appropriate negation code in AllergyIntolerance.code" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0306" ] ] ] ], [ fhir:index 234 ; fhir:Requirements.statement.key [ fhir:value "CONF-0307" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When No Known Allergies is documented the system **SHALL** use an] verification status in AllergyIntolerance.verificationStatus" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0307" ] ] ] ], [ fhir:index 235 ; fhir:Requirements.statement.key [ fhir:value "CONF-0308" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If a patient has not been asked about their allergies, this would be represented as:\nAllergyIntolerance.code = “1631000175102” (Patient not asked (contextual qualifier) (qualifier value))\nAllergyIntolerance.verificationStatus = “unconfirmed” or empty (in other words, the element omitted)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0308" ] ] ] ], [ fhir:index 236 ; fhir:Requirements.statement.key [ fhir:value "CONF-0309" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If a patient has been asked, but has indicated they have no known allergies, this would be represented as:\nAllergyIntolerance.code = “716186003” (No known allergy (situation))\nAllergyIntolerance.verificationStatus = “confirmed”" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-allergyintolerance.html#CONF-0309" ] ] ] ], [ fhir:index 237 ; fhir:Requirements.statement.key [ fhir:value "CONF-0310" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careplan.html#CONF-0310" ] ] ] ], [ fhir:index 238 ; fhir:Requirements.statement.key [ fhir:value "CONF-0311" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careplan.html#CONF-0311" ] ] ] ], [ fhir:index 239 ; fhir:Requirements.statement.key [ fhir:value "CONF-0312" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careplan.html#CONF-0312" ] ] ] ], [ fhir:index 240 ; fhir:Requirements.statement.key [ fhir:value "CONF-0313" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careteam.html#CONF-0313" ] ] ] ], [ fhir:index 241 ; fhir:Requirements.statement.key [ fhir:value "CONF-0317" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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] ." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careteam.html#CONF-0317" ] ] ] ], [ fhir:index 242 ; fhir:Requirements.statement.key [ fhir:value "CONF-0318" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careteam.html#CONF-0318" ] ] ] ], [ fhir:index 243 ; fhir:Requirements.statement.key [ fhir:value "CONF-0319" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-careteam.html#CONF-0319" ] ] ] ], [ fhir:index 244 ; fhir:Requirements.statement.key [ fhir:value "CONF-0323" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0323" ] ] ], [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0323" ] ] ] ], [ fhir:index 245 ; fhir:Requirements.statement.key [ fhir:value "CONF-0324" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[A US Core Condition Encounter Diagnosis] encounter **SHOULD** always be referenced in Condition.encounter." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0324" ] ] ] ], [ fhir:index 246 ; fhir:Requirements.statement.key [ fhir:value "CONF-0331" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If the category is \"problem-list-item\", Condition.clinicalStatus **SHOULD** be present." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0331" ] ] ] ], [ fhir:index 247 ; fhir:Requirements.statement.key [ fhir:value "CONF-0332" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Updates to .meta.lastUpdated **SHOULD** reflect: New problems and health concerns " ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0332" ] ] ] ], [ fhir:index 248 ; fhir:Requirements.statement.key [ fhir:value "CONF-0333" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Updates to .meta.lastUpdated **SHOULD** reflect:\nChanges in the clinical status or verification status of problems or health concerns." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0333" ] ] ] ], [ fhir:index 249 ; fhir:Requirements.statement.key [ fhir:value "CONF-0334" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-coverage.html#CONF-0334" ] ] ] ], [ fhir:index 250 ; fhir:Requirements.statement.key [ fhir:value "CONF-0336" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "To differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes [when sending Coverage.type]: [For] Part A and B [use] 121 (Medicare Fee For Service)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-coverage.html#CONF-0336" ] ] ] ], [ fhir:index 251 ; fhir:Requirements.statement.key [ fhir:value "CONF-0337" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "To differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes: [For] Part C (Medicare Advantage Plan) [use] 111 (Medicare HMO), 112 (Medicare PPO), 113 (Medicare POS)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-coverage.html#CONF-0337" ] ] ] ], [ fhir:index 252 ; fhir:Requirements.statement.key [ fhir:value "CONF-0338" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "To differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes: [For] Part D [use] 122 (Medicare Drug Benefit)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-coverage.html#CONF-0338" ] ] ] ], [ fhir:index 253 ; fhir:Requirements.statement.key [ fhir:value "CONF-0339" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-coverage.html#CONF-0339" ] ] ] ], [ fhir:index 254 ; fhir:Requirements.statement.key [ fhir:value "CONF-0341" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **SHOULD** use the FDA Global UDI Database (GUDID) and associated APIs to parse and validate the [unique device ID] UDI" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0341" ] ] ] ], [ fhir:index 255 ; fhir:Requirements.statement.key [ fhir:value "CONF-0342" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Medical devices with UDI information **SHALL** represent the UDI code in Device.udiCarrier.carrierHRF" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0342" ] ] ] ], [ fhir:index 256 ; fhir:Requirements.statement.key [ fhir:value "CONF-0343" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "UDI-PI elements present [in Device.udiCarrier.carrierHRF] **SHALL** be represented in the corresponding US Core Device Profile elements" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0343" ] ] ] ], [ fhir:index 257 ; fhir:Requirements.statement.key [ fhir:value "CONF-0344" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0344" ] ] ] ], [ fhir:index 258 ; fhir:Requirements.statement.key [ fhir:value "CONF-0345" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0345" ] ] ] ], [ fhir:index 259 ; fhir:Requirements.statement.key [ fhir:value "CONF-0347" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Records of implanted devices **MAY** be queried against UDI data, including: UDI HRF string (udi-carrier)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0347" ] ] ] ], [ fhir:index 260 ; fhir:Requirements.statement.key [ fhir:value "CONF-0348" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Records of implanted devices **MAY** be queried against UDI data, including:UDI Device Identifier (udi-di)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0348" ] ] ] ], [ fhir:index 261 ; fhir:Requirements.statement.key [ fhir:value "CONF-0349" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Records of implanted devices **MAY** be queried against UDI data, including: Manufacturer (manufacturer)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0349" ] ] ] ], [ fhir:index 262 ; fhir:Requirements.statement.key [ fhir:value "CONF-0350" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Records of implanted devices **MAY** be queried against UDI data, including: Model number (model)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0350" ] ] ] ], [ fhir:index 263 ; fhir:Requirements.statement.key [ fhir:value "CONF-0351" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **MAY** also adopt custom SearchParameters for searching by lot numbers" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0351" ] ] ] ], [ fhir:index 264 ; fhir:Requirements.statement.key [ fhir:value "CONF-0352" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **MAY** also adopt custom SearchParameters for searching by serial number" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0352" ] ] ] ], [ fhir:index 265 ; fhir:Requirements.statement.key [ fhir:value "CONF-0353" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **MAY** also adopt custom SearchParameters for searching by expiration date" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0353" ] ] ] ], [ fhir:index 266 ; fhir:Requirements.statement.key [ fhir:value "CONF-0354" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **MAY** also adopt custom SearchParameters for searching by manufacture date" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0354" ] ] ] ], [ fhir:index 267 ; fhir:Requirements.statement.key [ fhir:value "CONF-0355" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **MAY** also adopt custom SearchParameters for searching by distinct identifier" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-device.html#CONF-0355" ] ] ] ], [ fhir:index 268 ; fhir:Requirements.statement.key [ fhir:value "CONF-0356" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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’." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0356" ] ] ], [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0356" ] ] ] ], [ fhir:index 269 ; fhir:Requirements.statement.key [ fhir:value "CONF-0357" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "When the report was released … **SHALL** be present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0357" ] ] ] ], [ fhir:index 270 ; fhir:Requirements.statement.key [ fhir:value "CONF-0358" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Updates to .meta.lastUpdated **SHOULD** reflect New laboratory reports. " ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0358" ] ] ] ], [ fhir:index 271 ; fhir:Requirements.statement.key [ fhir:value "CONF-0359" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Updates to .meta.lastUpdated **SHOULD** reflect changes in the status of laboratory reports, including events that trigger the same status (e.g., amended → amended)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0359" ] ] ] ], [ fhir:index 272 ; fhir:Requirements.statement.key [ fhir:value "CONF-0361" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Other [diagnostic report] categories **MAY** be supported [when using US Core DiagnosticReport Profile for Report and Note Exchange]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0361" ] ] ] ], [ fhir:index 273 ; fhir:Requirements.statement.key [ fhir:value "CONF-0364" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "For Diagnostic Imaging Reports systems **SHOULD** support using the subset of LOINC codes listed in Table 4: LOINC® Document Type Codes in *HL7 Standard for CDA® Release 2: Imaging Integration; Basic Imaging Reports in CDA and DICOM, Release 1*" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0364" ] ] ] ], [ fhir:index 274 ; fhir:Requirements.statement.key [ fhir:value "CONF-0366" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0366" ] ] ] ], [ fhir:index 275 ; fhir:Requirements.statement.key [ fhir:value "CONF-0367" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0367" ] ] ] ], [ fhir:index 276 ; fhir:Requirements.statement.key [ fhir:value "CONF-0368" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0368" ] ] ], [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0368" ] ] ] ], [ fhir:index 277 ; fhir:Requirements.statement.key [ fhir:value "CONF-0372" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "If there are multiple DocumentReference.content element repetitions, these **SHALL** all represent the same document in different formats or attachment metadata" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0372" ] ] ], [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0372" ] ] ] ], [ fhir:index 278 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Requirements.statement.key [ fhir:value "CONF-0373" ] ; fhir:Requirements.statement.requirement [ fhir:value "The [documentReference.content] element **SHALL NOT** contain different versions of the same content." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0373" ] ] ], [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0373" ] ] ] ], [ fhir:index 279 ; fhir:Requirements.statement.key [ fhir:value "CONF-0374" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html#CONF-0374" ] ] ], [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0374" ] ] ] ], [ fhir:index 280 ; fhir:Requirements.statement.key [ fhir:value "CONF-0375" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0375" ] ] ] ], [ fhir:index 281 ; fhir:Requirements.statement.key [ fhir:value "CONF-0378" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If Encounter.reasonReference references an Observation, it **SHOULD** conform to a US Core Observation [profile applicable to the observation being made]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0378" ] ] ] ], [ fhir:index 282 ; fhir:Requirements.statement.key [ fhir:value "CONF-0379" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0379" ] ] ] ], [ fhir:index 283 ; fhir:Requirements.statement.key [ fhir:value "CONF-0382" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If the event facility/location differs from the Encounter.location, systems **SHOULD** reference it directly" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0382" ] ] ], [ fhir:value "StructureDefinition-us-core-location.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-location.html#CONF-0382" ] ] ] ], [ fhir:index 284 ; fhir:Requirements.statement.key [ fhir:value "CONF-0383" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If the event facility/location differs from the Encounter.location, … systems **SHALL** use the location element for all resources where the element is available." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0383" ] ] ], [ fhir:value "StructureDefinition-us-core-location.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-location.html#CONF-0383" ] ] ] ], [ fhir:index 285 ; fhir:Requirements.statement.key [ fhir:value "CONF-0384" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0384" ] ] ], [ fhir:value "StructureDefinition-us-core-location.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-location.html#CONF-0384" ] ] ] ], [ fhir:index 286 ; fhir:Requirements.statement.key [ fhir:value "CONF-0385" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Updates to .meta.lastUpdated **SHOULD** reflect New encounters/visits" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0385" ] ] ] ], [ fhir:index 287 ; fhir:Requirements.statement.key [ fhir:value "CONF-0386" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0386" ] ] ] ], [ fhir:index 288 ; fhir:Requirements.statement.key [ fhir:value "CONF-0387" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-goal.html#CONF-0387" ] ] ] ], [ fhir:index 289 ; fhir:Requirements.statement.key [ fhir:value "CONF-0390" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** use the status code: not-done to represent that an immunization was not given." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-immunization.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-immunization.html#CONF-0390" ] ] ] ], [ fhir:index 290 ; fhir:Requirements.statement.key [ fhir:value "CONF-0399" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When referencing a Medication resource in .medicationReference, the resource **MAY** be [contained](http://hl7.org/fhir/R4/references.html#contained)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationdispense.html#CONF-0399" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0399" ] ] ] ], [ fhir:index 291 ; fhir:Requirements.statement.key [ fhir:value "CONF-0400" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When referencing a Medication resource in .medicationReference, the resource **MAY** be an external resource" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationdispense.html#CONF-0400" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0400" ] ] ] ], [ fhir:index 292 ; fhir:Requirements.statement.key [ fhir:value "CONF-0401" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationdispense.html#CONF-0401" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0401" ] ] ] ], [ fhir:index 293 ; fhir:Requirements.statement.key [ fhir:value "CONF-0402" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationdispense.html#CONF-0402" ] ] ], [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0402" ] ] ] ], [ fhir:index 294 ; fhir:Requirements.statement.key [ fhir:value "CONF-0407" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When recording “self-prescribed” medication, requester **SHOULD** be used to indicate the Patient or RelatedPerson as the prescriber" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0407" ] ] ] ], [ fhir:index 295 ; fhir:Requirements.statement.key [ fhir:value "CONF-0408" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0408" ] ] ] ], [ fhir:index 296 ; fhir:Requirements.statement.key [ fhir:value "CONF-0416" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0416" ] ] ] ], [ fhir:index 297 ; fhir:Requirements.statement.key [ fhir:value "CONF-0417" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Source EHR identifiers **SHOULD** be included to support deduplication across MedicationRequest resources." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0417" ] ] ] ], [ fhir:index 298 ; fhir:Requirements.statement.key [ fhir:value "CONF-0419" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#CONF-0419" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0419" ] ] ], [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0419" ] ] ] ], [ fhir:index 299 ; fhir:Requirements.statement.key [ fhir:value "CONF-0420" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[For an Observation a] code system value **SHOULD** be supplied for each additional code" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#CONF-0420" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0420" ] ] ], [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0420" ] ] ] ], [ fhir:index 300 ; fhir:Requirements.statement.key [ fhir:value "CONF-0421" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-average-blood-pressure.html#CONF-0421" ] ] ] ], [ fhir:index 301 ; fhir:Requirements.statement.key [ fhir:value "CONF-0422" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The context or precondition of a patient’s [care experience] preference **SHOULD** be supplied in the Observation.valueString or in an extension" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-care-experience-preference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-care-experience-preference.html#CONF-0422" ] ] ], [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0422" ] ] ] ], [ fhir:index 302 ; fhir:Requirements.statement.key [ fhir:value "CONF-0423" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** use the base FHIR [Observation Category Codes] (http://hl7.org/fhir/R4/valueset-observation-category.html) [in Observation.category]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0423" ] ] ] ], [ fhir:index 303 ; fhir:Requirements.statement.key [ fhir:value "CONF-0424" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHOULD** support Observation.effectivePeriod to accurately represent measurements over time" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0424" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0424" ] ] ] ], [ fhir:index 304 ; fhir:Requirements.statement.key [ fhir:value "CONF-0425" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "An Observation.component without a value, **SHALL** include a reason why the data is absent" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0425" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0425" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0425" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0425" ] ] ] ], [ fhir:index 305 ; fhir:Requirements.statement.key [ fhir:value "CONF-0426" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems that never provide a component observation without a component value **MAY** choose not to support Observation.component.dataAbsentReason" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0426" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0426" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0426" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0426" ] ] ] ], [ fhir:index 306 ; fhir:Requirements.statement.key [ fhir:value "CONF-0427" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "An Observation without a value, **SHALL** include a reason why the data is absent" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0427" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0427" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0427" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0427" ] ] ] ], [ fhir:index 307 ; fhir:Requirements.statement.key [ fhir:value "CONF-0428" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0428" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0428" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0428" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0428" ] ] ] ], [ fhir:index 308 ; fhir:Requirements.statement.key [ fhir:value "CONF-0429" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems that never provide an observation without a value **MAY** choose not to support Observation.dataAbsentReason" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-clinical-result.html#CONF-0429" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0429" ] ] ], [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0429" ] ] ], [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0429" ] ] ] ], [ fhir:index 309 ; fhir:Requirements.statement.key [ fhir:value "CONF-0430" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated **SHOULD** reflect new laboratory observations" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0430" ] ] ] ], [ fhir:index 310 ; fhir:Requirements.statement.key [ fhir:value "CONF-0431" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0431" ] ] ] ], [ fhir:index 311 ; fhir:Requirements.statement.key [ fhir:value "CONF-0432" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When sending US Core Observation Occupation Profile] for … [a] current job ,systems **SHALL** omit observation.effectivePeriod.end to indicate it is ongoing." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-occupation.html#CONF-0432" ] ] ] ], [ fhir:index 312 ; fhir:Requirements.statement.key [ fhir:value "CONF-0433" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When the industry is known, but the occupation is not, systems **SHALL** use the value “unknown” from the [DataAbsentReason Code System](http://hl7.org/fhir/R4/codesystem-data-absent-reason.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-occupation.html#CONF-0433" ] ] ] ], [ fhir:index 313 ; fhir:Requirements.statement.key [ fhir:value "CONF-0434" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "when the occupation is known but the industry is not, systems **SHALL** omit the industry Observation.component" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-occupation.html#CONF-0434" ] ] ] ], [ fhir:index 314 ; fhir:Requirements.statement.key [ fhir:value "CONF-0437" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[For] multi-question surveys or assessments Observation.code is an overarching assessment or screening code, and the Observation.value element **SHOULD** be empty" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0437" ] ] ] ], [ fhir:index 315 ; fhir:Requirements.statement.key [ fhir:value "CONF-0438" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0438" ] ] ] ], [ fhir:index 316 ; fhir:Requirements.statement.key [ fhir:value "CONF-0439" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "the Server system ... **SHALL** support [either] Reference(US Core Observation Screening Assessment Profile) or Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0439" ] ] ] ], [ fhir:index 317 ; fhir:Requirements.statement.key [ fhir:value "CONF-0441" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-simple-observation.html#CONF-0441" ] ] ] ], [ fhir:index 318 ; fhir:Requirements.statement.key [ fhir:value "CONF-0442" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "An assertion or determination derived from screening and assessment tools **SHOULD** reference them using Observation.derivedFrom" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-simple-observation.html#CONF-0442" ] ] ] ], [ fhir:index 319 ; fhir:Requirements.statement.key [ fhir:value "CONF-0443" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When using `Observation.derivedFrom’ to reference an Observation, the referenced Observation **SHOULD** be a US Core Observation" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-simple-observation.html#CONF-0443" ] ] ] ], [ fhir:index 320 ; fhir:Requirements.statement.key [ fhir:value "CONF-0447" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-vital-signs.html#CONF-0447" ] ] ] ], [ fhir:index 321 ; fhir:Requirements.statement.key [ fhir:value "CONF-0448" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Information about the growth chart tables used to determine percentiles **SHOULD** be supplied in Observation.note.text" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-pediatric-bmi-for-age.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-pediatric-bmi-for-age.html#CONF-0448" ] ] ], [ fhir:value "StructureDefinition-pediatric-weight-for-height.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-pediatric-weight-for-height.html#CONF-0448" ] ] ], [ fhir:value "StructureDefinition-head-occipital-frontal-circumference-percentile.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-head-occipital-frontal-circumference-percentile.html#CONF-0448" ] ] ] ], [ fhir:index 322 ; fhir:Requirements.statement.key [ fhir:value "CONF-0449" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-blood-pressure.html#CONF-0449" ] ] ] ], [ fhir:index 323 ; fhir:Requirements.statement.key [ fhir:value "CONF-0450" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-blood-pressure.html#CONF-0450" ] ] ] ], [ fhir:index 324 ; fhir:Requirements.statement.key [ fhir:value "CONF-0451" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-blood-pressure.html#CONF-0451" ] ] ] ], [ fhir:index 325 ; fhir:Requirements.statement.key [ fhir:value "CONF-0452" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#CONF-0452" ] ] ] ], [ fhir:index 326 ; fhir:Requirements.statement.key [ fhir:value "CONF-0453" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#CONF-0453" ] ] ] ], [ fhir:index 327 ; fhir:Requirements.statement.key [ fhir:value "CONF-0454" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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.]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-pulse-oximetry.html#CONF-0454" ] ] ] ], [ fhir:index 328 ; fhir:Requirements.statement.key [ fhir:value "CONF-0455" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** support National Provider Identifier (NPI) for organizations" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-organization.html#CONF-0455" ] ] ] ], [ fhir:index 329 ; fhir:Requirements.statement.key [ fhir:value "CONF-0456" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems … **SHOULD** the National Association of Insurance Commissioners NAIC Company code (sometimes called “NAIC Number” or “cocode”) for payers." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-organization.html#CONF-0456" ] ] ] ], [ fhir:index 330 ; fhir:Requirements.statement.key [ fhir:value "CONF-0457" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems … **SHOULD** support Clinical Laboratory Improvement Amendments (CLIA) for laboratories" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-organization.html#CONF-0457" ] ] ] ], [ fhir:index 331 ; fhir:Requirements.statement.key [ fhir:value "CONF-0461" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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)]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0461" ] ] ] ], [ fhir:index 332 ; fhir:Requirements.statement.key [ fhir:value "CONF-0462" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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)]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0462" ] ] ] ], [ fhir:index 333 ; fhir:Requirements.statement.key [ fhir:value "CONF-0463" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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)]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0463" ] ] ] ], [ fhir:index 334 ; fhir:Requirements.statement.key [ fhir:value "CONF-0464" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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)]" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0464" ] ] ] ], [ fhir:index 335 ; fhir:Requirements.statement.key [ fhir:value "CONF-0466" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** represent *Previous name* by setting `Patient.name.use` to \"old\" or providing an end date in `Patient.name.period` or doing both." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0466" ] ] ] ], [ fhir:index 336 ; fhir:Requirements.statement.key [ fhir:value "CONF-0467" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** represent *Previous Address* by setting `Patient.address.use` to \"old\" or providing an end date in `Patient.address.period` or doing both." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0467" ] ] ] ], [ fhir:index 337 ; fhir:Requirements.statement.key [ fhir:value "CONF-0470" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0470" ] ] ] ], [ fhir:index 338 ; fhir:Requirements.statement.key [ fhir:value "CONF-0471" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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]. Both certifying and non-certifying systems **MAY** choose not to use Project US@ for historical records or documents that are not exposed through FHIR-based APIs." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0471" ] ] ] ], [ fhir:index 339 ; fhir:Requirements.statement.key [ fhir:value "CONF-0472" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD-NOT" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value " **SHOULD NOT** be used as a patient identifier in Patient.identifier.value" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0472" ] ] ] ], [ fhir:index 340 ; fhir:Requirements.statement.key [ fhir:value "CONF-0473" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitioner.html#CONF-0473" ] ] ] ], [ fhir:index 341 ; fhir:Requirements.statement.key [ fhir:value "CONF-0474" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitioner.html#CONF-0474" ] ] ] ], [ fhir:index 342 ; fhir:Requirements.statement.key [ fhir:value "CONF-0475" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[When using the US Core Practitioner Profile] Practitioner.address … **SHALL**[be supported] if … [the Server does] not support the US Core PractitionerRole Profile" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitioner.html#CONF-0475" ] ] ] ], [ fhir:index 343 ; fhir:Requirements.statement.key [ fhir:value "CONF-0477" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Only professional/work contact information about the practitioner **SHOULD** be available to the patient" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitioner.html#CONF-0477" ] ] ] ], [ fhir:index 344 ; fhir:Requirements.statement.key [ fhir:value "CONF-0480" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If using LOINC codes in procedure.code] only LOINC concepts that reflect actual procedures **SHOULD** be used" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-procedure.html#CONF-0480" ] ] ] ], [ fhir:index 345 ; fhir:Requirements.statement.key [ fhir:value "CONF-0486" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-procedure.html#CONF-0486" ] ] ] ], [ fhir:index 346 ; fhir:Requirements.statement.key [ fhir:value "CONF-0488" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[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)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-procedure.html#CONF-0488" ] ] ] ], [ fhir:index 347 ; fhir:Requirements.statement.key [ fhir:value "CONF-0489" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The US Core Provenance resource **SHALL** be supported for these US Core resource types:\nAllergyIntolerance, CarePlan, CareTeam, Condition, Coverage, Device, DiagnosticReport, DocumentReference, Encounter, Goal, Immunization, MedicationDispense, MedicationRequest, Observation, Patient, Procedure, QuestionnaireResponse, RelatedPerson, ServiceRequest" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-provenance.html#CONF-0489" ] ] ] ], [ fhir:index 348 ; fhir:Requirements.statement.key [ fhir:value "CONF-0508" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-provenance.html#CONF-0508" ] ] ] ], [ fhir:index 349 ; fhir:Requirements.statement.key [ fhir:value "CONF-0509" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If a system receives a provider in Provenance.agent.who as free text, … [upon request they] **MAY** include the free text provider." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-provenance.html#CONF-0509" ] ] ] ], [ fhir:index 350 ; fhir:Requirements.statement.key [ fhir:value "CONF-0514" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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 **MAY** be used." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0514" ] ] ] ], [ fhir:index 351 ; fhir:Requirements.statement.key [ fhir:value "CONF-0515" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The ServiceRequest.code value ... **SHOULD** be constrained to a subset for a particular use case or domain" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0515" ] ] ] ], [ fhir:index 352 ; fhir:Requirements.statement.key [ fhir:value "CONF-0523" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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, servers **MAY** use text." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-specimen.html#CONF-0523" ] ] ], [ fhir:value "StructureDefinition-us-core-medication.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medication.html#CONF-0523" ] ] ] ], [ fhir:index 353 ; fhir:Requirements.statement.key [ fhir:value "CONF-0524" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-specimen.html#CONF-0524" ] ] ] ], [ fhir:index 354 ; fhir:Requirements.statement.key [ fhir:value "CONF-0550" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** establish a risk analysis and management regime that conforms with HIPAA security regulatory requirements" ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0550" ] ] ] ], [ fhir:index 355 ; fhir:Requirements.statement.key [ fhir:value "CONF-0552" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "US Federal systems **SHOULD** conform with the risk management and mitigation requirements defined in NIST 800 series documents." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0552" ] ] ] ], [ fhir:index 356 ; fhir:Requirements.statement.key [ fhir:value "CONF-0554" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "US Federal systems … **SHOULD** include security category assignment following NIST 800-60 vol. 2 Appendix D.14." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0554" ] ] ] ], [ fhir:index 357 ; fhir:Requirements.statement.key [ fhir:value "CONF-0556" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The coordination of risk management and the related security and privacy controls … **SHOULD** be defined in the Business Associate Agreement when available." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0556" ] ] ] ], [ fhir:index 358 ; fhir:Requirements.statement.key [ fhir:value "CONF-0558" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** reference a single time source to establish a common time base for security auditing and clinical data records among computing systems." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0558" ] ] ] ], [ fhir:index 359 ; fhir:Requirements.statement.key [ fhir:value "CONF-0560" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The selected time service **SHOULD** be documented in the Business Associate Agreement when available." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0560" ] ] ] ], [ fhir:index 360 ; fhir:Requirements.statement.key [ fhir:value "CONF-0562" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** keep audit logs of the various transactions." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0562" ] ] ] ], [ fhir:index 361 ; fhir:Requirements.statement.key [ fhir:value "CONF-0564" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** use TLS version 1.2 or higher for all transmissions not taking place over a secure network connection." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0564" ] ] ] ], [ fhir:index 362 ; fhir:Requirements.statement.key [ fhir:value "CONF-0566" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "US Federal systems **SHOULD** conform with FIPS PUB 140-2." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0566" ] ] ] ], [ fhir:index 363 ; fhir:Requirements.statement.key [ fhir:value "CONF-0568" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** conform to [FHIR Communications Security](http://hl7.org/fhir/R4/security.html#http) requirements." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0568" ] ] ] ], [ fhir:index 364 ; fhir:Requirements.statement.key [ fhir:value "CONF-0570" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For Authentication and Authorization, Systems **SHALL** support any [SMART App Launch Version 2.0.0](http://hl7.org/fhir/smart-app-launch/history.html) and later for Client <-> Server interactions." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0570" ] ] ] ], [ fhir:index 365 ; fhir:Requirements.statement.key [ fhir:value "CONF-0572" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHALL** implement consent requirements per their state, local, and institutional policies." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0572" ] ] ] ], [ fhir:index 366 ; fhir:Requirements.statement.key [ fhir:value "CONF-0574" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The Business Associate Agreements **SHOULD** document systems’ mutual consent requirements." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0574" ] ] ] ], [ fhir:index 367 ; fhir:Requirements.statement.key [ fhir:value "CONF-0576" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "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." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0576" ] ] ] ], [ fhir:index 368 ; fhir:Requirements.statement.key [ fhir:value "CONF-0578" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **MAY** implement the [FHIR Digital Signatures](http://hl7.org/fhir/R4/security.html#digital%20signatures)" ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0578" ] ] ] ], [ fhir:index 369 ; fhir:Requirements.statement.key [ fhir:value "CONF-0580" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **MAY** protect the confidentiality of data at rest via encryption and associated access controls." ] ; fhir:Requirements.statement.reference [ fhir:value "security.html#patient-privacy-and-security" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "security.html#CONF-0580" ] ] ] ], [ fhir:index 370 ; fhir:Requirements.statement.key [ fhir:value "CONF-0804" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "If any sub-element is marked as *Additional USCDI* [for a complex element], it must also meet the *Additional USCDI* requirements and satisfy the *Additional USCDI* requirements for the parent element." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---complex-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0804" ] ] ] ], [ fhir:index 371 ; fhir:Requirements.statement.key [ fhir:value "CONF-0808" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "When a Reference type element is labeled as Must Support and has a single target profile referenced, the target profile **SHALL** be supported." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-targets-for-us-core-profiles" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0808" ] ] ] ], [ fhir:index 372 ; fhir:Requirements.statement.key [ fhir:value "CONF-0810" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "When a Reference type element is labeled as Must Support, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) **SHALL** be supported." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support-targets-for-us-core-profiles" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0810" ] ] ] ], [ fhir:index 373 ; fhir:Requirements.statement.key [ fhir:value "CONF-0813" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If a] slicer's Must Support property only defines the element level Must Support...[, i.e.,] no Must Support... property is defined for the slice, then support for that slice's definition is optional." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---slices" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0813" ] ] ] ], [ fhir:index 374 ; fhir:Requirements.statement.key [ fhir:value "CONF-0818" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Surgical Operation Note (11504-8)](https://loinc.org/11504-8.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0818" ] ] ] ], [ fhir:index 375 ; fhir:Requirements.statement.key [ fhir:value "CONF-0819" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Emergency Department Note (34111-5)](https://loinc.org/34111-5.html)" ] ; fhir:Requirements.statement.reference [ fhir:value "clinical-notes.html#clinical-notes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "clinical-notes.html#CONF-0819" ] ] ] ], [ fhir:index 376 ; fhir:Requirements.statement.key [ fhir:value "CONF-0821" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers that support the USCDI Health Status/Assessments Data Class ... **SHOULD** support the SDC Base Questionnaire and the US Core QuestionnaireResponse Profile.\"" ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#structured-screening-and-assessments" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0821" ] ] ] ], [ fhir:index 377 ; fhir:Requirements.statement.key [ fhir:value "CONF-0822" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the US Core Simple Observation Profile, Servers **SHALL** support all the category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#category-codes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0822" ] ] ] ], [ fhir:index 378 ; fhir:Requirements.statement.key [ fhir:value "CONF-0823" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the … US Core Observation Screening Assessment Profiles, Servers **SHALL** support all the category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#category-codes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0823" ] ] ] ], [ fhir:index 379 ; fhir:Requirements.statement.key [ fhir:value "CONF-0824" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the US Core Condition Problems and Health Concerns Profile, Servers **SHALL** support the code ,\"sdoh\"" ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#category-codes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0824" ] ] ] ], [ fhir:index 380 ; fhir:Requirements.statement.key [ fhir:value "CONF-0825" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the US Core Condition Problems and Health Concerns Profile, Servers **SHOULD** support the other category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#category-codes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0825" ] ] ] ], [ fhir:index 381 ; fhir:Requirements.statement.key [ fhir:value "CONF-0826" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the US Core ServiceRequest Profile, Servers **SHOULD** support all the [[listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)] category codes." ] ; fhir:Requirements.statement.reference [ fhir:value "screening-and-assessments.html#category-codes" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "screening-and-assessments.html#CONF-0826" ] ] ] ], [ fhir:index 382 ; fhir:Requirements.statement.key [ fhir:value "CONF-0836" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "The `DiagnosticReport.basedOn` element connects the DiagnosticReport to the originating order in the EHR. Systems that initiate the order **SHOULD** use this element when reporting the results." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0836" ] ] ] ], [ fhir:index 383 ; fhir:Requirements.statement.key [ fhir:value "CONF-0837" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The `DiagnosticReport.media.link` element **SHOULD** be used to support links to various patient-friendly content, such as jpg images of x-rays (see the DiagnosticReport Chest X-ray Report Example)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0837" ] ] ] ], [ fhir:index 384 ; fhir:Requirements.statement.key [ fhir:value "CONF-0838" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The `DiagnosticReport.imagingStudy` element **SHOULD** be used to support exchange with systems that can view DICOM (Digital Imaging and Communications in Medicine) studies, series, and SOP (Service-Object Pair) instances referenced in the -[ImagingStudy](http://hl7.org/fhir/R4/imagingstudy.html) resource." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-diagnosticreport-note.html#CONF-0838" ] ] ] ], [ fhir:index 385 ; fhir:Requirements.statement.key [ fhir:value "CONF-0839" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value " If the referenced document or file [referenced by `DocumentReference.content.attachment.url`] is hosted on a Server outside the FHIR Server, it **SHOULD**be securely accessible using the same authorization credentials that were used to access the FHIR Server. This reduces complexity for the Client and improves the user experience." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-documentreference.html" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-documentreference.html" ] ] ], [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0839" ] ] ] ], [ fhir:index 386 ; fhir:Requirements.statement.key [ fhir:value "CONF-0840" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "Although the [US Core Interpreter Needed] extension is marked as an Additional USCDI Requirements on both US Core Patient and US Core Encounter Profiles, the certifying Server system is not required to support the extension on both profiles, but **SHALL** support the extension on at least one." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0840" ] ] ] ], [ fhir:index 387 ; fhir:Requirements.statement.key [ fhir:value "CONF-0841" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "There is no guarantee that vaccine lot numbers are globally unique, and they are not recommended for matching or de-duplication across systems unless used with other data elements such as a vaccine product code, manufacturer code, or date of administration. Implementers **MAY** communicate the `Immunization.manufacturer` to ensure global uniqueness to lot numbers." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-immunization.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-immunization.html#CONF-0841" ] ] ] ], [ fhir:index 388 ; fhir:Requirements.statement.key [ fhir:value "CONF-0842" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHALL** return all active medications following the [Get All Active Medications](https://hl7.org/fhir/us/core/STU8/medication-list.html#get-all-active-medications) guidance." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-medicationrequest.html#CONF-0842" ] ] ] ], [ fhir:index 389 ; fhir:Requirements.statement.key [ fhir:value "CONF-0843" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[For US Core Laboratory Result Observation Profile, even] when the specimen type is already implied by the LOINC code used in `Observation.code` (e.g., a LOINC code for Blood Glucose), the `Observation.specimen` element **SHOULD** also be populated with the referenced Specimen resource to explicitly communicate the collected specimen type." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0843" ] ] ] ], [ fhir:index 390 ; fhir:Requirements.statement.key [ fhir:value "CONF-0844" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[For US Core Laboratory Result Observation Profile, the] type of specimen [in `Observation.specimen`] **SHOULD** not conflict with the LOINC code [in `Observation.code`]." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-lab.html#CONF-0844" ] ] ] ], [ fhir:index 391 ; fhir:Requirements.statement.key [ fhir:value "CONF-0845" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[For the US Core Observation Screening Assessment Profile, the] category type \"survey\" is required." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0845" ] ] ] ], [ fhir:index 392 ; fhir:Requirements.statement.key [ fhir:value "CONF-0850" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[For the US Core Observation Screening Assessment Profile,] when using Observation.derivedFrom to reference an Observation, the referenced Observation **SHOULD** be a US Core Observation." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0850" ] ] ] ], [ fhir:index 393 ; fhir:Requirements.statement.key [ fhir:value "CONF-0851" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Servers **SHOULD** use the [US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html) on [the [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html)] or the [US Core Encounter Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html) to communicate whether a patient needs an interpreter." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0851" ] ] ], [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0851" ] ] ] ], [ fhir:index 394 ; fhir:Requirements.statement.key [ fhir:value "CONF-0855" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Systems **SHOULD** designate the patient's preferred language in the Patient.communication.preferred element." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0855" ] ] ], [ fhir:value "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-encounter.html#CONF-0855" ] ] ] ], [ fhir:index 395 ; fhir:Requirements.statement.key [ fhir:value "CONF-0857" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For the USCDI *Laboratory Order*, *Imaging Order*, *Clinical Test Order*, and *Procedure Order* Data Elements, implementers **SHOULD** use the corresponding category codes listed in the table" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#root" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0857" ] ] ] ], [ fhir:index 396 ; fhir:Requirements.statement.key [ fhir:value "CONF-0868" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Although 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support. Servers are not required to support both, but **SHALL** support at least one." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-simple-observation.html#CONF-0868" ] ] ] ], [ fhir:index 397 ; fhir:Requirements.statement.key [ fhir:value "CONF-0871" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.conditionality [ fhir:value "true"^^xsd:boolean ] ; fhir:Requirements.statement.requirement [ fhir:value "[If a] slicer's Additional USCDI property only defines the element level Additional USCDI...[, i.e.,] no Additional USCDI... property is defined for the slice, then support for that slice's definition is optional." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---slices" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0871" ] ] ] ], [ fhir:index 398 ; fhir:Requirements.statement.key [ fhir:value "CONF-0881" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When a Reference element is labeled as *Must Support* has multiple target profiles referenced, but none are labeled as *Must Support*\n\n...\n\n- US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to *at least one* target profile." ] ; fhir:Requirements.statement.reference [ fhir:value "must-support.html#must-support---resource-references" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "must-support.html#CONF-0881" ] ] ] ], [ fhir:index 399 ; fhir:Requirements.statement.key [ fhir:value "CONF-0885" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The author is communicated by the elements and the author's role by the referenced target resource (for example, Patient, Practitioner/PractitionerRole, RelatedPerson, Device). Details about the author's role are contained in the target resource's contents. Many of these elements are labeled Must Support or Additional USCDI Requirements. However,[even if they are not labeled Must Support or Additional USCDI Requirements] all of these elements and target resources **SHOULD** be supported in the profiles if the system captures the data." ] ; fhir:Requirements.statement.reference [ fhir:value "basic-provenance.html#individual-level-provenance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "basic-provenance.html#CONF-0885" ] ] ] ], [ fhir:index 400 ; fhir:Requirements.statement.key [ fhir:value "CONF-0887" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Although 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support. Servers are not required to support both, but **SHALL** support at least one." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0887" ] ] ] ], [ fhir:index 401 ; fhir:Requirements.statement.key [ fhir:value "CONF-0889" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value " … this profile uses USPS Two Letter Alphabetic Codes for US states. When encoding addresses outside the US, systems **SHOULD** use the [ISO 3166 subdivision codes](https://www.iso.org/iso-3166-country-codes.html)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitioner.html#CONF-0889" ] ] ], [ fhir:value "StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-organization.html#CONF-0889" ] ] ], [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0889" ] ] ], [ fhir:value "StructureDefinition-us-core-relatedperson.html#profile-specific-implementation-guidance" ; fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-relatedperson.html#CONF-0889" ] ] ] ], [ fhir:index 402 ; fhir:Requirements.statement.key [ fhir:value "CONF-0890" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Due to implementer feedback, some US Core Profiles reference the base FHIR PractitionerRole resource instead of the US Core PractitionerRole Profile. However, the US Core PractitionerRole Profile **SHOULD** be used as the default profile if referenced by another US Core profile." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitionerrole.html#CONF-0890" ] ] ] ], [ fhir:index 403 ; fhir:Requirements.statement.key [ fhir:value "CONF-0891" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When selecting role codes...implementers **SHOULD** choose the code that reflects the specific duties performed within that role rather than the specialty unless the individual's professional specialization characterizes the role." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitionerrole.html#CONF-0891" ] ] ] ], [ fhir:index 404 ; fhir:Requirements.statement.key [ fhir:value "CONF-0892" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "A procedure including an implantable device **SHOULD** use `Procedure.focalDevice` referencing the US Core Device Profile" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-procedure.html#CONF-0892" ] ] ] ], [ fhir:index 405 ; fhir:Requirements.statement.key [ fhir:value "CONF-0894" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Unless exchanging legacy or text-only data, medical specialty codes **SHOULD** be taken from NUCC or SNOMED CT." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-practitionerrole.html#CONF-0894" ] ] ] ], [ fhir:index 406 ; fhir:Requirements.statement.key [ fhir:value "CONF-0895" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Unless exchanging legacy or text-only data, procedure codes **SHOULD** be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT, or LOINC*." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-procedure.html#CONF-0895" ] ] ] ], [ fhir:index 407 ; fhir:Requirements.statement.key [ fhir:value "CONF-0896" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "US Core guidance provides more flexibility for situations where implementers cannot fully comply with the FHIR guidance. This flexibility is sometimes necessary and expected for legacy and text-only data. However, for newly recorded, non-legacy data, a system **SHOULD** adhere to the extensible binding rules." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0896" ] ] ] ], [ fhir:index 408 ; fhir:Requirements.statement.key [ fhir:value "CONF-0897" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For data not captured by the system transmitting the information, the coded data **SHOULD** be automatically converted to fine-grained codes from the specified ValueSet." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0897" ] ] ] ], [ fhir:index 409 ; fhir:Requirements.statement.key [ fhir:value "CONF-0898" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "For data not captured by the system transmitting the information, ....the system **MAY** provide the existing code or the free text, and a high-level abstract code, such as the SNOMED CT code \"71388002\"(Procedure), to remain conformant with the extensible binding." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#extensible-binding-for-coded-elements" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0898" ] ] ] ], [ fhir:index 410 ; fhir:Requirements.statement.key [ fhir:value "CONF-0899" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "To represent the patient and provider attestation metadata, the optional DocumentReference Attestor R5 Extension defined in the US Core DocumentReference Profile **SHOULD** be used" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-adi-documentreference.html#CONF-0899" ] ] ] ], [ fhir:index 411 ; fhir:Requirements.statement.key [ fhir:value "CONF-0900" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Unless exchanging legacy or text-only data, condition codes **SHOULD** be taken from SNOMED CT and ICD-10-CM, USCDI's applicable vocabulary standards for the Problem Data Element." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0900" ] ] ], [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance" ; fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0900" ] ] ] ], [ fhir:index 412 ; fhir:Requirements.statement.key [ fhir:value "CONF-0901" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The Service Delivery Location Role Type value set is inherited from the base resource, and, although its binding strength is [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) in the base resource, US Core implementers **MAY** treat it as [preferred](http://hl7.org/fhir/R4/terminologies.html#preferred)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-location.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-location.html#CONF-0901" ] ] ] ], [ fhir:index 413 ; fhir:Requirements.statement.key [ fhir:value "CONF-0903" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When exchanging Social Determinants of Health (SDOH) data, implementers **SHOULD** use the [Social Determinants of Health Goals](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion) set which is curated by the Gravity Project to represent goals for all SDOH Domains." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-goal.html#CONF-0903" ] ] ] ], [ fhir:index 414 ; fhir:Requirements.statement.key [ fhir:value "CONF-0904" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Implementers **SHOULD** conform to the binding strengths listed for each USCDI Order context...Laboratory Order|[LOINC Common Laboratory Orders Value Set]|extensible, Imaging Order|[LOINC Radiology Codes]|preferred, Clinical Test Order|[LOINC Clinical Test Codes]|preferred" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0904" ] ] ] ], [ fhir:index 415 ; fhir:Requirements.statement.key [ fhir:value "CONF-0905" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "the US Core ServiceRequest Profile **MAY** be used to represent a derived \"actionable\" order based on a portable Medical Order(PMO)." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0905" ] ] ] ], [ fhir:index 416 ; fhir:Requirements.statement.key [ fhir:value "CONF-0906" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[When] used to represent a derived \"actionable\" order based on a PMO...The `ServiceRequest.category` **SHOULD** be bound to [Portable Medical Order Categories](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.34/Expansion)" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0906" ] ] ] ], [ fhir:index 417 ; fhir:Requirements.statement.key [ fhir:value "CONF-0907" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "[When] used to represent a derived \"actionable\" order based on a PMO...ServiceRequest.code` **SHOULD** be aligned with the appropriate Category" ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0907" ] ] ] ], [ fhir:index 418 ; fhir:Requirements.statement.key [ fhir:value "CONF-0908" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The `ServiceReqest.reasonReference` **SHOULD** be used to reference the US Core ADI DocumentReference Profile that indexes the PMO." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-servicerequest.html#CONF-0908" ] ] ] ], [ fhir:index 419 ; fhir:Requirements.statement.key [ fhir:value "CONF-0909" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "The following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] RelatedPerson [the] <patient|user|system>/FamilyMemberHistory.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]" ] ; fhir:Requirements.statement.reference [ fhir:value "scopes.html#scopes-for-requesting-fhir-resources-by-type" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "scopes.html#CONF-0909" ] ] ] ], [ fhir:index 420 ; fhir:Requirements.statement.key [ fhir:value "CONF-0912" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHOULD" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "When implementing US Core, implementers **SHOULD** use the published versions or later versions of the value sets and code systems." ] ; fhir:Requirements.statement.reference [ fhir:value "terminology.html#us-core-valueset-and-codesystem-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "terminology.html#CONF-0912" ] ] ] ], [ fhir:index 421 ; fhir:Requirements.statement.key [ fhir:value "CONF-0913" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "In some cases, [when implementing US Core] implementers **MAY** need to use terminology from earlier versions to preserve legacy data." ] ; fhir:Requirements.statement.reference [ fhir:value "terminology.html#us-core-valueset-and-codesystem-versions" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "terminology.html#CONF-0913" ] ] ] ], [ fhir:index 422 ; fhir:Requirements.statement.key [ fhir:value "CONF-0914" ] ; fhir:Requirements.statement.conformance [ fhir:value "SHALL" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value " Systems **SHALL** represent *Suffix* using the `Patient.name.suffix` element." ] ; fhir:Requirements.statement.reference [ fhir:value "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "StructureDefinition-us-core-patient.html#CONF-0914" ] ] ] ], [ fhir:index 423 ; fhir:Requirements.statement.key [ fhir:value "CONF-0915" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Profile Only Support: Systems **MAY** support *only* the US Core Profiles to represent clinical information." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#conforming-to-us-core" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0915" ] ] ] ], [ fhir:index 424 ; fhir:Requirements.statement.key [ fhir:value "CONF-0916" ] ; fhir:Requirements.statement.conformance [ fhir:value "MAY" ; fhir:index 0 ] ; fhir:Requirements.statement.requirement [ fhir:value "Profile Support + Interaction Support: Systems **MAY** support *both* the US Core Profile content structure *and* the RESTful interactions defined for a resource." ] ; fhir:Requirements.statement.reference [ fhir:value "general-requirements.html#conforming-to-us-core" ; fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/narrativeLink" ] ; fhir:Extension.valueUrl [ fhir:value "general-requirements.html#CONF-0916" ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Requirements/us-core-server.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Requirements/us-core-server.ttl> .
IG © 2027+ HL7 International / Cross-Group Projects. Package hl7.fhir.us.core#10.0.0-ballot based on FHIR 4.0.1. Generated 2026-09-11
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