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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    {
      "resourceType" : "CapabilityStatement",
      "id" : "full-dtr-ehr-700",
      "language" : "en",
      "text" : {
        "status" : "extensions",
        "div" : "<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>\n</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>\n</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>\u00a0</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>$log-questionnaire-errors</code></td></tr><tr><td><a href=\"#ValueSet1-2\">ValueSet</a></td><td>\u00a0</td><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td class=\"text-center\"/><td/><td/><td/><td><code>$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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "cds"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 2,
          "_valueInteger" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/davinci-dtr/CapabilityStatement/full-dtr-ehr-700",
      "version" : "2.2.0",
      "name" : "FullDTREHR",
      "title" : "Full DTR EHR",
      "status" : "active",
      "experimental" : false,
      "date" : "2026-02-04",
      "publisher" : "HL7 International / Clinical Decision Support",
      "contact" : [
        {
          "name" : "HL7 International / Clinical Decision Support",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/dss"
            }
          ]
        }
      ],
      "description" : "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" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "kind" : "requirements",
      "imports" : [
        🔗 "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|7.0.0"
      ],
      "fhirVersion" : "4.0.1",
      "format" : [
        "json"
      ],
      "rest" : [
        {
          "mode" : "client",
          "documentation" : "A DTR Native Client provides an EHR-based application",
          "security" : {
            "description" : "Implementations **SHALL** meet the general security requirements documented in the [HRex implementation guide](https://build.fhir.org/ig/HL7/davinci-ehrx)."
          },
          "resource" : [
            {
              "type" : "Questionnaire",
              "operation" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "questionnaire-package",
                  "definition" : "http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/questionnaire-package|2.2.0"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "next-question",
                  "definition" : "http://hl7.org/fhir/uv/sdc/OperationDefinition/Questionnaire-next-question|4.0.0"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "log-questionnaire-errors",
                  "definition" : "http://hl7.org/fhir/us/davinci-dtr/OperationDefinition/log-questionnaire-errors|2.2.0"
                }
              ]
            },
            {
              "type" : "ValueSet",
              "operation" : [
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "expand",
                  "definition" : "http://hl7.org/fhir/OperationDefinition/ValueSet-expand"
                }
              ]
            }
          ]
        }
      ]
    }