Da Vinci Unsolicited Notifications
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Da Vinci Unsolicited Notifications, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-alerts/ and changes regularly. See the Directory of published versions

: Notification Forwarder CapabilityStatement - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "resourceType" : "CapabilityStatement",
  "id" : "notification-forwarder",
  "text" : {
    "status" : "additional",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"> <h3 id=\"should_igs\" class=\"no_toc\">SHOULD Support the Following Implementation Guides:</h3> <ul> <li><a href=\"http://hl7.org/fhir/us/core/STU3.1.1/index.html\">HL7 FHIR® US Core Implementation Guide STU3 Release 3.1.1</a></li> </ul> <ul> <li><a href=\"http://hl7.org/fhir/us/core/STU6.1/index.html\">HL7 FHIR® US Core Implementation Guide STU3 Release 6.1.0</a></li> </ul> <ul> <li><a href=\"http://hl7.org/fhir/us/core/STU7/index.html\">HL7 FHIR® US Core Implementation Guide STU3 Release 7.0.0</a></li> </ul> <ul> <li><a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/index.html\">Da Vinci Health Record Exchange (HRex) 1.1.0 - STU R1</a></li> </ul> <h3 id=\"should_css\" class=\"no_toc\">SHOULD Implement All Or Parts Of The Following Capability Statements:</h3> <ul> <li><a href=\"https://hl7.org/fhir/us/core/STU3.1.1/CapabilityStatement-us-core-client.html\">US Core Version 3.1.1 Client CapabilityStatement</a></li> </ul> <ul> <li><a href=\"https://hl7.org/fhir/us/core/STU6.1.0/CapabilityStatement-us-core-client.html\">US Core Version 6.1.0 Client CapabilityStatement</a></li> </ul> <ul> <li><a href=\"https://hl7.org/fhir/us/core/STU7.0.0/CapabilityStatement-us-core-client.html\">US Core Version 7.0.0 Client CapabilityStatement</a></li> </ul> <h3 id=\"behavior\">FHIR RESTful Capabilities</h3> <p>The Da Vinci Notification Intermediary <strong>SHALL</strong>:</p> <ol> <li>Support the notification framework defined in this Guide for the Intermediary forwarding notifications.</li> <li>Implement the RESTful behavior according to the FHIR specification.</li> <li>Support json source formats for all Da Vinci Notification interactions.</li> <li>Declare a CapabilityStatement identifying the scenarios, transactions and profiles supported.</li> </ol> <p>The Da Vinci Notifications Intermediary <strong>SHOULD</strong>:</p> <ol> <li>Support the admission/discharge use case defined in this Guide.</li> <li>Support xml source formats for all Da Vinci Notification interactions.</li> <li>Identify the Da Vinci or US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li> </ol> <p id=\"security\"><strong>Security:</strong></p> <ol> <li>For general security consideration refer to the <a href=\"http://build.fhir.org/secpriv-module.html\">Security and Privacy Considerations</a>.</li> <li>For security considerations specific to this guide refer to the <a href=\"security.html\">Security</a> page for requirements and recommendations.</li> </ol> <p><strong>Summary of System Wide Operations</strong></p> <ul> <li><strong>SHALL</strong> support the <a href=\"http://hl7.org/fhir/OperationDefinition/MessageHeader-process-message\"><code>$process-message</code></a> operation.</li> <blockquote><p>The Intermediary SHALL notify the Recipient or Intermediary using the $process-message operation.Forwarding notifications using this framework is a point to point FHIR RESTful transaction. The intermediary <strong>SHALL</strong> always modify the MessageHeader as described below and <strong>MAY</strong> change the other contents of the bundle per agreement between the Intermediary and Sender or Receiver. When forwarding the notification, the Intermediary <strong>SHALL</strong>:</p> <ol> <li>Create a new message bundle with a new <code>Bundle.id</code> and new <code>MessageHeader.id</code></li> <li>Update the <code>MessageHeader.sender</code> to reflect the Intermediary as the new Sender</li> <li>Update the <code>MessageHeader.destination.url</code> elements to reflect the new Recipient/Intermediary.</li> <li>Add a [US Core Provenance Profile] with <code>Provenance.target</code> pointing to MessageHeader and using the guidance provided in [Basic Provenance for HIE Redistribution and Transformation]. <ul> <li> <p><code>Provenance.agent.type</code> = &quot;author&quot; set to the Sender</p> </li> <li> <p>If <em>no</em> change to the bundle contents:</p> <p><code>Provenance.agent.type</code> = &quot;transmitter&quot; set to the Intermediary</p> </li> <li> <p>If changes to the bundle contents:</p> <p><code>Provenance.agent.type</code> = &quot;assembler&quot; set to the Intermediary</p> </li> </ul> </li> </ol> </blockquote></ul> <h3 id=\"resource-details\" class=\"no_toc\">RESTful Capabilities by Resource/Profile:</h3> <h4>Summary</h4> <table class=\"grid\"> <thead> <tr> <th>Resource Type</th> <th>Supported Profiles</th> <th>Supported Searches</th> <th>Supported <code>_includes</code></th> <th>Supported <code>_revincludes</code></th> <th>Supported Operations</th> </tr> </thead> <tbody> <tr> <td> <a href=\"#bundle\">Bundle</a> </td> <td> <a href=\"StructureDefinition-notifications-bundle.html\">Da Vinci Notifications Bundle Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#condition\">Condition</a> </td> <td> <a href=\"StructureDefinition-adt-notification-condition.html\">Da Vinci Admit/Transfer/Discharge Notification Condition Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#coverage\">Coverage</a> </td> <td> <a href=\"StructureDefinition-adt-notification-coverage.html\">Da Vinci Admit/Transfer/Discharge Notification Coverage Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#encounter\">Encounter</a> </td> <td> <a href=\"StructureDefinition-adt-notification-encounter.html\">Da Vinci Admit/Transfer/Discharge Notification Encounter Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#location\">Location</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location\">US Core Location Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#messageheader\">MessageHeader</a> </td> <td> <a href=\"StructureDefinition-notifications-messageheader.html\">Da Vinci Notifications MessageHeader Profile</a>, <a href=\"StructureDefinition-admit-notification-messageheader.html\">Da Vinci Admit Notification MessageHeader Profile</a>, <a href=\"StructureDefinition-transfer-notification-messageheader.html\">Da Vinci Transfer Notification MessageHeader Profile</a>, <a href=\"StructureDefinition-discharge-notification-messageheader.html\">Da Vinci Discharge Notification MessageHeader Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#organization\">Organization</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization\">US Core Organization Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#patient\">Patient</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient\">US Core Patient Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#practitioner\">Practitioner</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner\">US Core Practitioner Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#practitionerrole\">PractitionerRole</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole\">US Core PractitionerRole Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href=\"#provenance\">Provenance</a> </td> <td> <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance\">US Core Provenance Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> </tbody> </table> <h4 id=\"bundle\" class=\"no_toc\">Bundle</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-notifications-bundle.html\">Da Vinci Notifications Bundle Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Bundle resource using: <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code> </li> </ul> <hr/> <h4 id=\"condition\" class=\"no_toc\">Condition</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-adt-notification-condition.html\">Da Vinci Admit/Transfer/Discharge Notification Condition Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Condition resource using: <code class=\"highlighter-rouge\">GET [base]/Condition/[id]</code> </li> </ul> <hr/> <h4 id=\"coverage\" class=\"no_toc\">Coverage</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-adt-notification-coverage.html\">Da Vinci Admit/Transfer/Discharge Notification Coverage Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Coverage resource using: <code class=\"highlighter-rouge\">GET [base]/Coverage/[id]</code> </li> </ul> <hr/> <h4 id=\"encounter\" class=\"no_toc\">Encounter</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-adt-notification-encounter.html\">Da Vinci Admit/Transfer/Discharge Notification Encounter Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Encounter resource using: <code class=\"highlighter-rouge\">GET [base]/Encounter/[id]</code> </li> </ul> <hr/> <h4 id=\"location\" class=\"no_toc\">Location</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-location\">US Core Location Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Location resource using: <code class=\"highlighter-rouge\">GET [base]/Location/[id]</code> </li> </ul> <hr/> <h4 id=\"messageheader\" class=\"no_toc\">MessageHeader</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Forwarding notifications using the Da Vinci Unsolicited Notifications framework is a point to point FHIR RESTful transaction. The intermediary <strong>SHALL</strong> always modify the MessageHeader as described below and <strong>MAY</strong> change the other contents of the bundle per agreement between the Intermediary and Sender or Receiver. When forwarding the notification, the Intermediary <strong>SHALL</strong>:</p> <ol> <li>Create a new message bundle with a new <code>Bundle.id</code> and new<code>MessageHeader.id</code></li> <li>Update the <code>MessageHeader.sender</code> to reflect the Intermediary as the new Sender</li> <li>Replace the resource in the Bundle with the resource referenced by the updated <code>MessageHeader.sender</code> element.</li> <li>Update the <code>MessageHeader.destination</code> to reflect the new Recipient/Intermediary.</li> </ol> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-notifications-messageheader.html\">Da Vinci Notifications MessageHeader Profile</a> </li> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-admit-notification-messageheader.html\">Da Vinci Admit Notification MessageHeader Profile</a> </li> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-transfer-notification-messageheader.html\">Da Vinci Transfer Notification MessageHeader Profile</a> </li> <li><strong>SHALL</strong> support: <a href=\"StructureDefinition-discharge-notification-messageheader.html\">Da Vinci Discharge Notification MessageHeader Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a MessageHeader resource using: <code class=\"highlighter-rouge\">GET [base]/MessageHeader/[id]</code> </li> </ul> <hr/> <h4 id=\"organization\" class=\"no_toc\">Organization</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization\">US Core Organization Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Organization resource using: <code class=\"highlighter-rouge\">GET [base]/Organization/[id]</code> </li> </ul> <hr/> <h4 id=\"patient\" class=\"no_toc\">Patient</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient\">US Core Patient Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Patient resource using: <code class=\"highlighter-rouge\">GET [base]/Patient/[id]</code> </li> </ul> <hr/> <h4 id=\"practitioner\" class=\"no_toc\">Practitioner</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner\">US Core Practitioner Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a Practitioner resource using: <code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]</code> </li> </ul> <hr/> <h4 id=\"practitionerrole\" class=\"no_toc\">PractitionerRole</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry information regarding admission and discharge event in the Da Vinci Notification message bundle</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole\">US Core PractitionerRole Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>MAY</strong> be capable of fetching a PractitionerRole resource using: <code class=\"highlighter-rouge\">GET [base]/PractitionerRole/[id]</code> </li> </ul> <hr/> <h4 id=\"provenance\" class=\"no_toc\">Provenance</h4> <p>Conformance Expectation: <strong>SHALL</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>The Provenance resource is required to record changes to the Vinci Notification message bundle when forwarding the notification. The Intermediary <strong>SHALL</strong> add a <a href=\"https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a> to the message bundle. The <code>Provenance.target</code> references the MessageHeader and following the guidance provided in <a href=\"https://www.hl7.org/fhir/us/core/basic-provenance.html#hie-redistribution\">Basic Provenance for HIE Redistribution and Transformation</a>:</p> <ul> <li><code>Provenance.agent.type</code> = &quot;author&quot; set to the Sender</li> <li>If <em>no</em> change to the bundle contents: <code>Provenance.agent.type</code> = &quot;transmitter&quot; set to the Intermediary</li> <li>If changes to the bundle contents: <code>Provenance.agent.type</code> = &quot;assembler&quot; set to the Intermediary</li> </ul> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance\">US Core Provenance Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a Provenance resource using: <code class=\"highlighter-rouge\">GET [base]/Provenance/[id]</code> </li> </ul> <hr/> </div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "inm"
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-alerts/CapabilityStatement/notification-forwarder",
  "version" : "1.1.0-preview",
  "name" : "NotificationForwarderCapabilityStatement",
  "title" : "Notification Forwarder CapabilityStatement",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-06T17:35:39.140594-08:00",
  "publisher" : "HL7 International / Infrastructure And Messaging",
  "contact" : [
    {
      "name" : "HL7 International / Infrastructure And Messaging",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/inm"
        },
        {
          "system" : "email",
          "value" : "inm@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "This CapabilityStatement describes the expected capabilities of a Da Vinci Intermediary when forwarding Unsolicited Notifications transacted with the `$process-message` in the client mode.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "kind" : "requirements",
  "instantiates" : [
    🔗 "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|3.1.1"🔗 ,
    "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|6.1.0"🔗 ,
    "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|7.0.0"
  ],
  "_instantiates" : [
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
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  "fhirVersion" : "4.0.1",
  "format" : [
    "json",
    "xml"
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  "_format" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHALL"
        }
      ]
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "MAY"
        }
      ]
    }
  ],
  "implementationGuide" : [
    🔗 "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|3.1.1"🔗 ,
    "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1.0"🔗 ,
    "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|7.0.0"🔗 ,
    "http://hl7.org/fhir/us/davinci-hrex/ImplementationGuide/hl7.fhir.us.davinci-hrex|1.1.0"
  ],
  "_implementationGuide" : [
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
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