Da Vinci - Documentation Templates and Rules
2.2.0 - STU 2.2

Da Vinci - Documentation Templates and Rules, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-dtr/ and changes regularly. See the Directory of published versions

## : Full DTR EHR - USCDI 3 & 4

Page standards status: Trial-use | Maturity Level: 2

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    <CapabilityStatement xmlns="http://hl7.org/fhir">
      <id value="full-dtr-ehr-700"/>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement full-dtr-ehr-700</b></p><a name="full-dtr-ehr-700"> </a><a name="hcfull-dtr-ehr-700"> </a><h2 id="title">Full DTR EHR</h2><ul><li>Implementation Guide Version: 2.2.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code></li><li>Published on: 2026-02-04 </li><li>Published by: HL7 International / Clinical Decision Support </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><p>This CapabilityStatement imports the CapabilityStatement <a href="http://hl7.org/fhir/us/core/STU7/CapabilityStatement-us-core-client.html">US Core Client CapabilityStatementversion: 7.0.0)</a></p><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>client</code></h3></div><div class="panel-body"><div><p>A DTR Native Client provides an EHR-based application</p>
    </div><div class="lead"><em>Security</em></div><blockquote><div><p>Implementations <strong>SHALL</strong> meet the general security requirements documented in the <a href="https://build.fhir.org/ig/HL7/davinci-ehrx">HRex implementation guide</a>.</p>
    </div></blockquote></div></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#Questionnaire1-1">Questionnaire</a></td><td> </td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td><code>$questionnaire-package</code>, <code>$next-question</code>, <code>$log-questionnaire-errors</code></td></tr><tr><td><a href="#ValueSet1-2">ValueSet</a></td><td> </td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td><code>$expand</code></td></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Questionnaire1-1" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>Questionnaire</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/questionnaire.html">Questionnaire</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul/></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-questionnaire-package.html">$questionnaire-package</a></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/uv/sdc/STU4/OperationDefinition-Questionnaire-next-question.html">$next-question</a></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-log-questionnaire-errors.html">$log-questionnaire-errors</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ValueSet1-2" class="panel-title"><span style="float: right;">Resource Conformance: unspecified </span>ValueSet</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/valueset.html">ValueSet</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul/></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td>$expand</td><td><div/></td></tr></tbody></table></div></div></div></div></div></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="cds"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="2">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr"/>
          </extension>
        </valueInteger>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="trial-use">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-dtr/CapabilityStatement/full-dtr-ehr-700"/>
      <version value="2.2.0"/>
      <name value="FullDTREHR"/>
      <title value="Full DTR EHR"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2026-02-04"/>
      <publisher value="HL7 International / Clinical Decision Support"/>
      <contact>
        <name value="HL7 International / Clinical Decision Support"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/dss"/>
        </telecom>
      </contact>
      <description
                   value="This statement defines the expected capabilities of EHRs that manage the form filling functions of DTR internally for USCDI 3 (US-Core 6.1) and USCDI 4 (US-Core 7.0). Such EHRs need only support client capabilities for the Questionnaire Package, ValueSet Expand, and Next Question operations."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
        </coding>
      </jurisdiction>
      <kind value="requirements"/>
      <imports
               value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|7.0.0"/>
      <fhirVersion value="4.0.1"/>
      <format value="json"/>
      <rest>
        <mode value="client"/>
        <documentation
                       value="A DTR Native Client provides an EHR-based application"/>
        <security>
          <description
                       value="Implementations **SHALL** meet the general security requirements documented in the [HRex implementation guide](https://build.fhir.org/ig/HL7/davinci-ehrx)."/>
        </security>
        <resource>
          <type value="Questionnaire"/>
          <operation>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <name value="questionnaire-package"/>
            <definition
                        value="http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package|2.2.0"/>
          </operation>
          <operation>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <name value="next-question"/>
            <definition
                        value="http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question|4.0.0"/>
          </operation>
          <operation>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <name value="log-questionnaire-errors"/>
            <definition
                        value="http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/log-questionnaire-errors|2.2.0"/>
          </operation>
        </resource>
        <resource>
          <type value="ValueSet"/>
          <operation>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <name value="expand"/>
            <definition
                        value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"/>
          </operation>
        </resource>
      </rest>
    </CapabilityStatement>