PDEX Server CapabilityStatement - XML Representation - Da Vinci Payer Data Exchange v2.1.0

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions
: PDEX Server CapabilityStatement - XML Representation

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<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="pdex-server"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement pdex-server</b></p><a name="pdex-server"> </a><a name="hcpdex-server"> </a><a name="pdex-server-en-US"> </a><h2 id="title">PDEX Server CapabilityStatement</h2><ul><li>Implementation Guide Version: 2.1.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <strong>SHALL</strong> support <code>json</code>, <strong>SHOULD</strong> support <code>xml</code></li><li>Supported Patch Formats: <strong>SHOULD</strong> support <code>application/json-patch+json</code></li><li>Published on: 2024-10-20 </li><li>Published by: HL7 International / Financial Management </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><h3 id="shouldIGs">SHOULD Support the Following Implementation Guides</h3><ul><li><a href="http://hl7.org/fhir/smart-app-launch/STU2.1/ImplementationGuide-hl7.fhir.uv.smart-app-launch.html">http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch|2.1.0</a></li><li/></ul><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"><div><p>The PDex Server <strong>SHALL</strong>:</p>
<ol>
<li>Support the US Core 3.1.1 Patient resource profile.</li>
<li>Support at least one additional resource profile from the list of US Core and PDex Profiles.</li>
<li>Implement the RESTful behavior according to the FHIR specification.</li>
<li>Support json source formats for all US Core and PDex interactions.</li>
<li>Return the following response classes:</li>
</ol>
<ul>
<li>(Status 400): invalid parameter</li>
<li>(Status 401/4xx): unauthorized request</li>
<li>(Status 403): insufficient scope</li>
<li>(Status 404): unknown resource</li>
<li>(Status 410): deleted resource.</li>
</ul>
<p>The PDex Server <strong>SHOULD</strong>:</p>
<ol>
<li>Support xml source formats for all US Core interactions.</li>
<li>Identify the US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li>
</ol>
</div><div class="lead"><em>Security</em></div><blockquote><div><ol>
<li>See the <a href="http://hl7.org/fhir/us/core/security.html">US Core Security Considerations</a> section for requirements and recommendations. 2. A server <strong>SHALL</strong> reject any unauthorized requests by returning an <code>HTTP 401</code> unauthorized response code.</li>
</ol>
</div></blockquote><div class="lead"><em>Summary of System-wide Interactions</em></div><ul><li><strong>MAY </strong>support the <code>transaction</code>interaction.</li><li><strong>MAY </strong>support the <code>batch</code>interaction.</li><li><strong>MAY </strong>support the <code>search-system</code>interaction.</li><li><strong>MAY </strong>support the <code>history-system</code>interaction.</li></ul></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 past versions of resources (vread interaction)">V-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="PATCH a new resource version (patch interaction)">P</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th class="text-center"><b title="GET changes to a resource (history interaction on instance)">H-I</b></th><th class="text-center"><b title="GET changes for all resources of the type (history interaction on type)">H-T</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="#AllergyIntolerance1-1">AllergyIntolerance</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-allergyintolerance.html">US Core AllergyIntolerance Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>clinical-status, patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#CarePlan1-2">CarePlan</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>category, date, patient, status, patient+category+status, patient+category+status+date, patient+category, patient+category+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#CareTeam1-3">CareTeam</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-careteam.html">US Core CareTeam Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>patient, status, role, patient+status, patient+role</td><td><code>CareTeam:participant:PractitionerRole</code>, <code>CareTeam:participant:Practitioner</code>, <code>CareTeam:participant:Patient</code>, <code>CareTeam:participant:RelatedPerson</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Condition1-4">Condition</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>category, clinical-status, patient, onset-date, asserted-date, recorded-date, abatement-date, code, encounter, patient+recorded-date, patient+asserted-date, patient+category+clinical-status, patient+onset-date, patient+abatement-date, patient+clinical-status, patient+category+encounter, patient+code, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Consent1-5">Consent</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-pdex-provider-consent.html">PDex Provider Access Consent Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>_id, patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Coverage1-6">Coverage</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html">HRex Member Match Coverage Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#DiagnosticReport1-7">DiagnosticReport</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note Exchange</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>status, patient, category, code, date, patient+type, patient+status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#DocumentReference1-8">DocumentReference</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>_id, status, patient, category, type, date, period, patient+type, patient+status, patient+type+period, patient+category+date, patient+category</td><td/><td><code>Provenance:target</code></td><td><code>$docref</code></td></tr><tr><td><a href="#Encounter1-9">Encounter</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>_id, class, date, identifier, patient, location, status, type, discharge-disposition, patient+type, class+patient, patient+status, date+patient, patient+location, patient+discharge-disposition</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#ExplanationOfBenefit1-10">ExplanationOfBenefit</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-pdex-priorauthorization.html">PDex Prior Authorization</a></td><td class="text-center">y</td><td class="text-center"></td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td>_id, patient, _lastUpdated, type, identifier, service-date</td><td><code>ExplanationOfBenefit:patient</code>, <code>ExplanationOfBenefit:provider</code>, <code>ExplanationOfBenefit:care-team</code>, <code>ExplanationOfBenefit:coverage</code>, <code>ExplanationOfBenefit:insurer</code>, <code>ExplanationOfBenefit:*</code></td><td/><td/></tr><tr><td><a href="#Goal1-11">Goal</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-goal.html">US Core Goal Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>lifecycle-status, patient, target-date, description, patient+target-date, patient+description, patient+lifecycle-status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Group1-12">Group</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/davinci-atr/STU2/StructureDefinition-atr-group.html">Davinci ATR Group</a><br/>  <a href="StructureDefinition-pdex-provider-group.html">PDex Provider Group</a><br/>  <a href="StructureDefinition-pdex-member-match-group.html">PDex Member Match Group</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>identifier, characteristic, Group-characteristic-value-reference</td><td/><td/><td><code>$bulk-member-match</code>, <code>$davinci-data-export</code></td></tr><tr><td><a href="#Immunization1-13">Immunization</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>patient, status, date, patient+date, patient+status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Location1-14">Location</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-location.html">US Core Location Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>name, address, address-city, address-state, address-postalcode</td><td/><td/><td/></tr><tr><td><a href="#Medication1-15">Medication</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medication.html">US Core Medication Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#MedicationDispense1-16">MedicationDispense</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-pdex-medicationdispense.html">PDex MedicationDispense</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>status, type, patient, patient+status+type, patient+status</td><td><code>MedicationDispense:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#MedicationRequest1-17">MedicationRequest</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>status, intent, patient, encounter, authoredon, patient+intent+encounter, patient+intent+status, patient+intent+authoredon, patient+intent</td><td><code>MedicationRequest:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Observation1-18">Observation</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-bmi-for-age.html">US Core Pediatric BMI for Age Observation Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status Observation Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-head-occipital-frontal-circumference-percentile.html">US Core Pediatric Head Occipital Frontal Circumference Percentile Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a><br/>  <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>status, category, code, date, patient, patient+code+date, patient+category+status, patient+category+date, patient+category, patient+code</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Organization1-19">Organization</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-organization.html">US Core Organization Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>name, address</td><td/><td/><td/></tr><tr><td><a href="#Patient1-20">Patient</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>_id, birthdate, death-date, family, gender, given, identifier, name, family+gender, birthdate+name, gender+name, death-date+family</td><td/><td><code>Provenance:target</code></td><td><code>$member-match</code></td></tr><tr><td><a href="#Practitioner1-21">Practitioner</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>_id, name, identifier</td><td/><td/><td/></tr><tr><td><a href="#PractitionerRole1-22">PractitionerRole</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>specialty, practitioner</td><td><code>PractitionerRole:endpoint</code>, <code>PractitionerRole:practitioner</code></td><td/><td/></tr><tr><td><a href="#Procedure1-23">Procedure</a></td><td>Supported Profiles<br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td>status, patient, date, code, patient+code+date, patient+status, patient+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Provenance1-24">Provenance</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-pdex-provenance.html">PDex Provenance</a><br/>  <a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-provenance.html">US Core Provenance Profile</a></td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center">y</td><td class="text-center"></td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#ValueSet1-25">ValueSet</a></td><td> </td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td></td><td/><td/><td><code>$expand</code></td></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="AllergyIntolerance1-1" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>AllergyIntolerance</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/allergyintolerance.html">AllergyIntolerance</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-allergyintolerance.html">US Core AllergyIntolerance Profile</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-allergyintolerance-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-allergyintolerance-clinical-status.html">clinical-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td> </td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-allergyintolerance-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-allergyintolerance-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="CarePlan1-2" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>CarePlan</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/careplan.html">CarePlan</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-careplan.html">US Core CarePlan Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Additional considerations for systems aligning with <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492">HL7 Consolidated (C-CDA)</a> Care Plan requirements:
<ul>
<li>US Core Goal <strong>SHOULD</strong> be present in CarePlan.goal</li>
<li>US Core Condition <strong>SHOULD</strong> be present in CarePlan.addresses</li>
<li>Assessment and Plan <strong>MAY</strong> be included as narrative text</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-status.html">status</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="CareTeam1-3" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>CareTeam</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/careteam.html">CareTeam</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-careteam.html">US Core CareTeam Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>In order to access care team member's names, identifiers, locations, and contact information, the CareTeam profile supports several types of care team participants. They are represented as references to other profiles and include the following four profiles which are marked as must support:</p>
<ol>
<li>US Core Practitioner Profile</li>
<li>US Core PractitionerRole Profile</li>
<li>US Core Patient Profile</li>
<li>US Core RelatedPerson Profile</li>
</ol>
<ul>
<li>Although <em>both</em> US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references (and <code>_include</code> search parameters), but <strong>SHALL</strong> support <em>at least</em> one of them.</li>
<li>The client application <strong>SHALL</strong> support all four profile references.</li>
<li>Because the <em>US Core PractitionerRole Profile</em> supplies the provider's location and contact information and a reference to the Practitioner, server systems <strong>SHOULD</strong> reference it instead of the <em>US Core Practitioner Profile</em>.</li>
<li>Servers that supports only <em>US Core Practitioner Profile</em> <strong>SHALL</strong> provide implementation specific guidance how to access a provider's location and contact information using only the Practitioner resource.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-role.html">role</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-careteam-role.html">role</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Condition1-4" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Condition</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/condition.html">Condition</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-onset-date.html">onset-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-asserted-date.html">asserted-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-recorded-date.html">recorded-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-abatement-date.html">abatement-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-encounter.html">encounter</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-recorded-date.html">recorded-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-asserted-date.html">asserted-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-onset-date.html">onset-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-abatement-date.html">abatement-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-encounter.html">encounter</a></td><td><code>reference</code>+<code>token</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-code.html">code</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Consent1-5" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Consent</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/consent.html">Consent</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li>Supports <code>read</code>, <code>create</code>, <code>search-type</code>, <code>vread</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-pdex-provider-consent.html">PDex Provider Access Consent Profile</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td>_id</td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-condition-patient.html">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Coverage1-6" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Coverage</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/coverage.html">Coverage</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html">HRex Member Match Coverage Profile</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-coverage-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DiagnosticReport1-7" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>DiagnosticReport</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/diagnosticreport.html">DiagnosticReport</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note Exchange</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>Implantable medical devices that have UDI information <strong>SHALL</strong> represent the UDI code in <code>Device.udiCarrier.carrierHRF</code>.</p>
<ul>
<li>All of the five UDI-PI elements that are present in the UDI code <strong>SHALL</strong> be represented in the corresponding US Core Implantable Device Profile element.</li>
</ul>
<p>UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they <strong>SHOULD</strong> be included to support historical reports of implantable medical devices as follows:</p>
<p>manufacturer -&gt; <code>Device.manufacturer</code><br/>
model -&gt; <code>Device.model</code></p>
</li>
<li>
<p>Servers <strong>SHOULD</strong> support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+type</td><td><code>reference</code>+<code>&lt;unknown&gt;</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-diagnosticreport-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DocumentReference1-8" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>DocumentReference</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/documentreference.html">DocumentReference</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The <code>DocumentReference.type</code> binding <strong>SHALL</strong> support at a minimum the <a href="https://hl7.org/fhir/us/core/STU6.1/ValueSet-us-core-clinical-note-type.html">US Core 6.1 5 Common Clinical Notes</a> and may extend to the full US Core DocumentReference Type Value Set</li>
<li>The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using <code>DocumentReference.attachment.url</code> or the content as inline base64 encoded data using <code>DocumentReference.attachment.data</code>.
<ul>
<li>Although both are marked as must support, the server system is not required to support an address, and inline base64 encoded data, but <strong>SHALL</strong> support at least one of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
<li>The <code>content.url</code> may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.
<ul>
<li>If the endpoint is outside the FHIR base URL, it <strong>SHOULD NOT</strong> require additional authorization to access.</li>
</ul>
</li>
</ul>
</li>
<li>Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference <strong>SHALL</strong> be present either in <code>DocumentReference.custodian</code> or accessible in the Provenance resource targeting the DocumentReference using <code>Provenance.agent.who</code> or <code>Provenance.agent.onBehalfOf</code>.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-id.html">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-period.html">period</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-type.html">type</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-type.html">type</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-documentreference-period.html">period</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div><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="http://hl7.org/fhir/us/core/STU7/OperationDefinition-docref.html">$docref</a></td><td><div><p>A server <strong>SHALL</strong> be capable of responding to a $docref operation and  capable of returning at least a reference to a generated CCD document, if available. <strong>MAY</strong> provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD**  provide references to any document that falls within the date range If no date range is supplied, then the server <strong>SHALL</strong> provide references to last or current encounter.  <strong>SHOULD</strong> document what resources, if any, are returned as included resources<code>GET [base]/DocumentReference/$docref?patient=[id]</code></p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Encounter1-9" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Encounter</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/encounter.html">Encounter</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>The Encounter resource can represent a reason using either a code with <code>Encounter.reasonCode</code>, or a reference with <code>Encounter.reasonReference</code> to  Condition or other resource.</p>
<ul>
<li>Although both are marked as must support, the server systems are not required to support both a code and a reference, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
<li>if <code>Encounter.reasonReference</code> references an Observation, it <strong>SHOULD</strong> conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)</li>
</ul>
</li>
<li>
<p>The location address can be represented by either by the Location referenced by <code>Encounter.location.location</code> or indirectly through the Organization referenced by <code>Encounter.serviceProvider</code>.</p>
<ul>
<li>Although both are marked as must support, the server systems are not required to support both <code>Encounter.location.location</code> and <code>Encounter.serviceProvider</code>, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
<li>if using <code>Encounter.location.location</code> it <strong>SHOULD</strong> conform to US Core Location.</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-id.html">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-class.html">class</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-location.html">location</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-discharge-disposition.html">discharge-disposition</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-date.html">date</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>date</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-type.html">type</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-class.html">class</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>token</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-location.html">location</a></td><td><code>reference</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-encounter-discharge-disposition.html">discharge-disposition</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ExplanationOfBenefit1-10" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>ExplanationOfBenefit</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/explanationofbenefit.html">ExplanationOfBenefit</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code><br/><code>read</code><div><p>Searches using service-date, _lastUpdated, or type require a patient search argument.</p>
<p>_include:* SHALL be supported.</p>
</div></li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-pdex-priorauthorization.html">PDex Prior Authorization</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>When a Prior Authorization references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate&quot; should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?[parameter=value]&amp;_include=ExplanationOfBenefit:coverage&amp;_include:iterate=Coverage:payor.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/resource.html#search">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-explanationofbenefit-patient.html">patient</a></td><td><code>reference</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/resource.html#search">_lastUpdated</a></td><td><code>date</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-explanationofbenefit-type.html">type</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-explanationofbenefit-identifier.html">identifier</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-explanationofbenefit-service-date.html">service-date</a></td><td><code>date</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Goal1-11" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Goal</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/goal.html">Goal</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-goal.html">US Core Goal Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Although both <code>Goal.startDate</code> and <code>Goal.target.dueDate</code> are marked as must support, the server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements. The client application <strong>SHALL</strong> support both elements.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-lifecycle-status.html">lifecycle-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-target-date.html">target-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p>
<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-description.html">description</a></td><td><code>token</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-target-date.html">target-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-description.html">description</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-goal-lifecycle-status.html">lifecycle-status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Group1-12" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Group</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/group.html">Group</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><li><strong>SHALL</strong> support <br/><code>search-type</code><div><p>Allows discovery of existing groups. SHOULD be limited to groups a requestor is permitted to access.</p>
</div><code>read</code><div><p>Allows retrieval of a specific Group Resource.</p>
</div></li><li><strong>SHOULD</strong> support <br/><code>vread</code><div><p>Allows retrieval of a historical version of a Group Resource.</p>
</div><code>history-instance</code><div><p>Allows review of changes to a Group Resource over time.</p>
</div></li><li><strong>MAY</strong> support <br/><code>history-type</code><div><p>Retrieve the change history fora Group Resource.</p>
</div></li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/davinci-atr/STU2/StructureDefinition-atr-group.html">Davinci ATR Group</a><br/><a href="StructureDefinition-pdex-provider-group.html">PDex Provider Group</a><br/><a href="StructureDefinition-pdex-member-match-group.html">PDex Member Match Group</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/group.html#search">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/group.html#search">characteristic</a></td><td><code>token</code></td><td><div><p>A common characteristic of all members of a group.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/davinci-atr/STU2/SearchParameter-Group-characteristic-value-reference.html">Group-characteristic-value-reference</a></td><td><code>composite</code></td><td><div><p>multipleAnd: It's up to the server whether the parameter may repeat in order to specify multiple values that must all be true. multipleOr: The parameter may only have one value (no comma separators).</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div><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-bulk-member-match.html">$bulk-member-match</a></td><td><div><p>Client will submit multi-member-match-request bundle. Server will respond with a multi-member-match-response and instantiate a Group resource conforming to the PDexMemberMatchGroup that contains a set of matched members that the Server identified.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/davinci-atr/STU2/OperationDefinition-davinci-data-export.html">$davinci-data-export</a></td><td><div><p>Each DaVinci use case as part of its implementation guide can define the exportType parameter and the behavior expected.</p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Immunization1-13" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Immunization</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/immunization.html">Immunization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes <strong>SHOULD</strong> be supported as translations to them.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-date.html">date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-immunization-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Location1-14" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Location</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/location.html">Location</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-location.html">US Core Location Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The US Core Location  and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-location-name.html">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-location-address.html">address</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-location-address-city.html">address-city</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-location-address-state.html">address-state</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-location-address-postalcode.html">address-postalcode</a></td><td><code>string</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Medication1-15" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Medication</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/medication.html">Medication</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>search-type</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medication.html">US Core Medication Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The  MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ  <strong>SHALL</strong>  be supported.</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationDispense1-16" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>MedicationDispense</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/medicationdispense.html">MedicationDispense</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-pdex-medicationdispense.html">PDex MedicationDispense</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include<code>parameter for searching this element. The client application must support all methods. For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:</code>GET /MedicationDispense?patient=[id]<code> </code>GET /MedicationDispense?patient=[id]&amp;_include=MedicationDispense:medication`</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-status.html">status</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-type.html">type</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationdispense-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationRequest1-17" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>MedicationRequest</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/medicationrequest.html">MedicationRequest</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include<code>parameter for searching this element. The client application must support all methods. For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:</code>GET /MedicationRequest?patient=[id]<code> </code>GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication`</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-intent.html">intent</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-encounter.html">encounter</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-authoredon.html">authoredon</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-intent.html">intent</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-encounter.html">encounter</a></td><td><code>reference</code>+<code>token</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-medicationrequest-authoredon.html">authoredon</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Observation1-18" class="panel-title"><span style="float: right;">Resource Conformance: SHALL-⹋⹋ </span>Observation</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/observation.html">Observation</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-bmi-for-age.html">US Core Pediatric BMI for Age Observation Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status Observation Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-head-occipital-frontal-circumference-percentile.html">US Core Pediatric Head Occipital Frontal Circumference Percentile Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a><br/><a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-code.html">code</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-code.html">code</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-observation-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Organization1-19" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Organization</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/organization.html">Organization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-organization.html">US Core Organization Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Systems <strong>SHALL</strong> support National Provider Identifier (NPI) for organizations and <strong>SHOULD</strong> support Clinical Laboratory Improvement Amendments (CLIA) identifiers for <code>Organization.Identifier</code>.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-organization-name.html">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-organization-address.html">address</a></td><td><code>string</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-20" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Patient</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/patient.html">Patient</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>For ONC's USCDI requirements, each Patient must support the following additional elements. These elements are included in the formal definition of the profile. The patient examples include all of these elements.</p>
<ol>
<li>contact detail (e.g. a telephone number or an email address)</li>
<li>a communication language</li>
<li>a race</li>
<li>an ethnicity</li>
<li>a birth sex*</li>
<li>previous name
<ul>
<li>Previous name is represented by providing an end date in the <code>Patient.name.period</code> element for a previous name.</li>
</ul>
</li>
<li>suffix
<ul>
<li>Suffix is represented using the <code>Patient.name.suffix</code> element.</li>
</ul>
</li>
</ol>
</li>
<li>
<p>The Patient's Social Security Numbers <strong>SHOULD NOT</strong> be used as a patient identifier in <code>Patient.identifier.value</code>.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-id.html">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-name.html">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-birthdate.html">birthdate</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p>
<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-death-date.html">death-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p>
<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-family.html">family</a></td><td><code>string</code></td><td><div><p>A server <strong>SHALL</strong> support a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-gender.html">gender</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-given.html">given</a></td><td><code>string</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td> </td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-birthdate.html">birthdate</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-family.html">family</a></td><td><code>date</code>+<code>string</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-birthdate.html">birthdate</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-name.html">name</a></td><td><code>date</code>+<code>string</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-gender.html">gender</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-name.html">name</a></td><td><code>token</code>+<code>string</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-family.html">family</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-gender.html">gender</a></td><td><code>string</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-death-date.html">death-date</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-patient-family.html">family</a></td><td><code>date</code>+<code>string</code></td></tr></tbody></table></div></div><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="http://hl7.org/fhir/us/davinci-hrex/STU1.1/OperationDefinition-member-match.html">$member-match</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Practitioner1-21" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Practitioner</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/practitioner.html">Practitioner</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-practitioner.html">US Core Practitioner Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Servers that support only US Core Practitioner Profile <strong>SHALL</strong> provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-practitioner-name.html">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-practitioner-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-practitioner-id.html">_id</a></td><td><code>token</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="PractitionerRole1-22" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>PractitionerRole</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/practitionerrole.html">PractitionerRole</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-practitionerrole.html">US Core PractitionerRole Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The US Core Location  and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-practitionerrole-specialty.html">specialty</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-practitionerrole-practitioner.html">practitioner</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Procedure1-23" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Procedure</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/procedure.html">Procedure</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.
<ul>
<li>Only LOINC concepts that reflect actual procedures <strong>SHOULD</strong> be used</li>
</ul>
</li>
<li>A procedure including an implantable device <strong>SHOULD</strong> use <code>Procedure.focalDevice</code> with a reference to the <em>US Core Implantable Device Profile</em>.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-code.html">code</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU7/SearchParameter-us-core-procedure-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Provenance1-24" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>Provenance</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/provenance.html">Provenance</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>search-type</code>, <code>patch</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-pdex-provenance.html">PDex Provenance</a><br/><a href="http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-provenance.html">US Core Provenance Profile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>If a system receives a provider in <code>Provenance.agent.who</code> as free text they must capture who sent them the information as the organization. On request they <strong>SHALL</strong> provide this organization as the source and <strong>MAY</strong> include the free text provider.</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ValueSet1-25" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </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>SHOULD</b></td><td>$expand</td><td><div><p>A client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions.</p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-danger"><div class="panel-body"><span class="label label-danger">Error detected</span> ⹋⹋ - this mark indicates that there are more than one expectation extensions present</div></div></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </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-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-pdex/CapabilityStatement/pdex-server"/>
  <version value="2.1.0"/>
  <name value="PdexServerCapabilityStatement"/>
  <title value="PDEX Server CapabilityStatement"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-10-20"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Mark Scrimshire (mark.scrimshire@onyxhealth.io)"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:mark.scrimshire@onyxhealth.io"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International - Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="This Section describes the expected capabilities of the PDex Server actor which is responsible for providing responses to the queries submitted by the PDex Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by PDex Servers are defined. PDex Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <kind value="requirements"/>
  <fhirVersion value="4.0.1"/>
  <format value="json">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHALL"/>
    </extension>
  </format>
  <format value="xml">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHOULD"/>
    </extension>
  </format>
  <patchFormat value="application/json-patch+json">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHOULD"/>
    </extension>
  </patchFormat>
  <implementationGuide
                       value="http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch|2.1.0">🔗 
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHOULD"/>
    </extension>
  </implementationGuide>
  <implementationGuide>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHOULD"/>
    </extension>
  </implementationGuide>
  <rest>
    <mode value="server"/>
    <documentation
                   value="The PDex Server **SHALL**: 
1. Support the US Core 3.1.1 Patient resource profile.
2. Support at least one additional resource profile from the list of US Core and PDex Profiles. 
3. Implement the RESTful behavior according to the FHIR specification.
4. Support json source formats for all US Core and PDex interactions. 
5. Return the following response classes:
  - (Status 400): invalid parameter
  - (Status 401/4xx): unauthorized request
  - (Status 403): insufficient scope 
  - (Status 404): unknown resource 
  - (Status 410): deleted resource.

The PDex Server **SHOULD**: 
1. Support xml source formats for all US Core interactions.
2. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance."/>
    <security>
      <description
                   value="1. See the [US Core Security Considerations](http://hl7.org/fhir/us/core/security.html) section for requirements and recommendations. 2. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` unauthorized response code."/>
    </security>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="clinical-status"/>
        </extension>
      </extension>
      <type value="AllergyIntolerance"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves"/>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="clinical-status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <type value="CarePlan"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      </supportedProfile>
      <documentation
                     value="* Additional 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
    - US Core Condition **SHOULD** be present in CarePlan.addresses
    - Assessment and Plan **MAY** be included as narrative text"/>
      <interaction>
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          <valueCode value="SHALL"/>
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      <interaction>
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        <code value="vread"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
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      <interaction>
        <extension
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          <valueCode value="MAY"/>
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        <code value="history-type"/>
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      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
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      <searchRevInclude value="Provenance:target">
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="category"/>
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
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      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="date"/>
        <definition
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        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
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                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="patient"/>
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        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
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          <valueCode value="MAY"/>
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        <name value="status"/>
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                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
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    <resource>
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                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="role"/>
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      </extension>
      <type value="CareTeam"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      <documentation
                     value="In order to access care team member's names, identifiers, locations, and contact information, the CareTeam profile supports several types of care team participants. They are represented as references to other profiles and include the following four profiles which are marked as must support:
  1. US Core Practitioner Profile
  1. US Core PractitionerRole Profile
  1. US Core Patient Profile
  1. US Core RelatedPerson Profile

  * Although *both* US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references (and `_include` search parameters), but **SHALL** support *at least* one of them.
  * The client application **SHALL** support all four profile references.
  * Because the *US Core PractitionerRole Profile* supplies the provider's location and contact information and a reference to the Practitioner, server systems **SHOULD** reference it instead of the *US Core Practitioner Profile*.
  * Servers that supports only *US Core Practitioner Profile* **SHALL** provide implementation specific guidance how to access a provider's location and contact information using only the Practitioner resource."/>
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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        <code value="search-type"/>
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      <interaction>
        <extension
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      <interaction>
        <extension
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        <code value="history-instance"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
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        <extension
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          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="CareTeam:participant:Practitioner">
        <extension
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          <valueCode value="SHOULD"/>
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          <valueCode value="SHOULD"/>
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        <extension
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          <valueCode value="SHOULD"/>
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      <searchRevInclude value="Provenance:target">
        <extension
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          <valueCode value="SHALL"/>
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      </searchRevInclude>
      <searchParam>
        <extension
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          <valueCode value="MAY"/>
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        <name value="patient"/>
        <definition
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        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
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      <searchParam>
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          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
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          <valueCode value="SHOULD"/>
        </extension>
        <name value="role"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
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        <valueCode value="SHALL"/>
      </extension>
      <extension
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        <extension
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          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="recorded-date"/>
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      </extension>
      <extension
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        <extension
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          <valueCode value="SHOULD"/>
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        <extension url="required">
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        <extension url="required">
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        <extension url="required">
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        <extension
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          <valueCode value="SHOULD"/>
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        <extension url="required">
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        <extension url="required">
          <valueString value="onset-date"/>
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      <extension
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        <extension
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          <valueCode value="SHOULD"/>
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="abatement-date"/>
        </extension>
      </extension>
      <extension
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        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
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        <extension url="required">
          <valueString value="patient"/>
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        <extension url="required">
          <valueString value="clinical-status"/>
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      </extension>
      <extension
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        <extension
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          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="encounter"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <type value="Condition"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
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          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
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        <code value="history-instance"/>
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      <interaction>
        <extension
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          <valueCode value="MAY"/>
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      <referencePolicy value="resolves">
        <extension
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          <valueCode value="SHOULD"/>
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      <searchRevInclude value="Provenance:target">
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      <searchParam>
        <extension
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        <name value="category"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
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          <valueCode value="MAY"/>
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        <name value="clinical-status"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
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          <valueCode value="SHALL"/>
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        <name value="patient"/>
        <definition
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        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
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          <valueCode value="MAY"/>
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        <name value="onset-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-onset-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="asserted-date"/>
        <definition
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        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="recorded-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-recorded-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="abatement-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-condition-abatement-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="code"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
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          <valueCode value="MAY"/>
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        <name value="encounter"/>
        <definition
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        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
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    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
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      <type value="Consent"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-consent"/>
      <interaction>
        <code value="read"/>
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      <interaction>
        <code value="create"/>
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      <interaction>
        <code value="search-type"/>
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      <interaction>
        <code value="vread"/>
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      <interaction>
        <code value="history-instance"/>
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      <interaction>
        <code value="history-type"/>
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      <readHistory value="true"/>
      <referencePolicy value="resolves"/>
      <searchRevInclude value="Provenance:target"/>
      <searchParam>
        <name value="_id"/>
        <type value="string"/>
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      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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        <name value="patient"/>
        <definition
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        <type value="reference"/>
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    <resource>
      <extension
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        <valueCode value="SHALL"/>
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      <type value="Coverage"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage">🔗 
        <extension
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          <valueCode value="SHALL"/>
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      <interaction>
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      <interaction>
        <extension
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          <valueCode value="SHALL"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
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        <code value="vread"/>
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      <interaction>
        <extension
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          <valueCode value="SHOULD"/>
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        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <code value="history-type"/>
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      <referencePolicy value="resolves">
        <extension
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          <valueCode value="SHOULD"/>
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      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-coverage-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="DiagnosticReport"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Implantable medical devices that have UDI information **SHALL** represent the UDI code in `Device.udiCarrier.carrierHRF`.
   - All of the five UDI-PI elements that are present in the UDI code **SHALL** be represented in the corresponding US Core Implantable Device Profile element.
   
   UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they **SHOULD** be included to support historical reports of implantable medical devices as follows:

   manufacturer -&gt; `Device.manufacturer`  
   model -&gt; `Device.model`  

* Servers **SHOULD** support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
        <extension url="required">
          <valueString value="period"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <type value="DocumentReference"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The `DocumentReference.type` binding **SHALL** support at a minimum the [US Core 6.1 5 Common Clinical Notes](https://hl7.org/fhir/us/core/STU6.1/ValueSet-us-core-clinical-note-type.html) and may extend to the full US Core DocumentReference Type Value Set
* The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using `DocumentReference.attachment.url` or the content as inline base64 encoded data using `DocumentReference.attachment.data`.
    *  Although both 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.
    *  The client application **SHALL** support both elements.
    *  The `content.url` may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.
        * If the endpoint is outside the FHIR base URL, it **SHOULD NOT** require additional authorization to access.
* Every DocumentReference must have a responsible Organization. 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`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="period"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <operation>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="docref"/>
        <definition
                    value="http://hl7.org/fhir/us/core/OperationDefinition/docref"/>
        <documentation
                       value="A server **SHALL** be capable of responding to a $docref operation and  capable of returning at least a reference to a generated CCD document, if available. **MAY** provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD**  provide references to any document that falls within the date range If no date range is supplied, then the server **SHALL** provide references to last or current encounter.  **SHOULD** document what resources, if any, are returned as included resources`GET [base]/DocumentReference/$docref?patient=[id]`"/>
      </operation>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="class"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="location"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="discharge-disposition"/>
        </extension>
      </extension>
      <type value="Encounter"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The Encounter resource can represent a reason using either a code with `Encounter.reasonCode`, or a reference with `Encounter.reasonReference` to  Condition or other resource.
   * Although both are marked as must support, the server systems are not required to support both a code and a reference, but they **SHALL** support *at least one* of these elements.
   * The client application **SHALL** support both elements.
   * if `Encounter.reasonReference` references an Observation, it **SHOULD** conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)

* The location address can be represented by either by the Location referenced by `Encounter.location.location` or indirectly through the Organization referenced by `Encounter.serviceProvider`.
   * Although both are marked as must support, the server systems are not required to support both `Encounter.location.location` and `Encounter.serviceProvider`, but they **SHALL** support *at least one* of these elements.
   * The client application **SHALL** support both elements.
   * if using `Encounter.location.location` it **SHOULD** conform to US Core Location."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="class"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-class"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="location"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-location"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="discharge-disposition"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-discharge-disposition"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="ExplanationOfBenefit"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-priorauthorization"/>
      <documentation
                     value="When a Prior Authorization references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate&quot; should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?[parameter=value]&amp;_include=ExplanationOfBenefit:coverage&amp;_include:iterate=Coverage:payor."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
        <documentation
                       value="Searches using service-date, _lastUpdated, or type require a patient search argument.

_include:* SHALL be supported.
"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchInclude value="ExplanationOfBenefit:patient"/>
      <searchInclude value="ExplanationOfBenefit:provider"/>
      <searchInclude value="ExplanationOfBenefit:care-team"/>
      <searchInclude value="ExplanationOfBenefit:coverage"/>
      <searchInclude value="ExplanationOfBenefit:insurer"/>
      <searchInclude value="ExplanationOfBenefit:*"/>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition value="http://hl7.org/fhir/SearchParameter/Resource-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-patient"/>
        <type value="reference"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_lastUpdated"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Resource-lastUpdated"/>
        <type value="date"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-type"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-identifier"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="service-date"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-service-date"/>
        <type value="date"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="target-date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="description"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="lifecycle-status"/>
        </extension>
      </extension>
      <type value="Goal"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-goal">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     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. The client application **SHALL** support both elements."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="lifecycle-status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-lifecycle-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="target-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="description"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-description"/>
        <type value="token"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Group"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-group"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-group"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-match-group"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
        <documentation
                       value="Allows discovery of existing groups. SHOULD be limited to groups a requestor is permitted to access."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
        <documentation
                       value="Allows retrieval of a specific Group Resource."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
        <documentation
                       value="Allows retrieval of a historical version of a Group Resource."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
        <documentation
                       value="Allows review of changes to a Group Resource over time."/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
        <documentation
                       value="Retrieve the change history fora Group Resource."/>
      </interaction>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Group-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="characteristic"/>
        <definition
                    value="http://hl7.org/fhir/SearchParameter/Group-characteristic"/>
        <type value="token"/>
        <documentation
                       value="A common characteristic of all members of a group."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="Group-characteristic-value-reference"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-atr/SearchParameter/Group-characteristic-value-reference"/>
        <type value="composite"/>
        <documentation
                       value="multipleAnd: It's up to the server whether the parameter may repeat in order to specify multiple values that must all be true. multipleOr: The parameter may only have one value (no comma separators)."/>
      </searchParam>
      <operation>
        <name value="bulk-member-match"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match"/>
        <documentation
                       value="Client will submit multi-member-match-request bundle. Server will respond with a multi-member-match-response and instantiate a Group resource conforming to the PDexMemberMatchGroup that contains a set of matched members that the Server identified."/>
      </operation>
      <operation>
        <name value="davinci-data-export"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-atr/OperationDefinition/davinci-data-export"/>
        <documentation
                       value="Each DaVinci use case as part of its implementation guide can define the exportType parameter and the behavior expected."/>
      </operation>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="Immunization"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes **SHOULD** be supported as translations to them."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Location"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-location">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The US Core Location  and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they **SHOULD** be used as the default profile if referenced by another US Core profile."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-name"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="address"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-city"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-city"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-state"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-state"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="address-postalcode"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-postalcode"/>
        <type value="string"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Medication"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="The  MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ  **SHALL**  be supported."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
        <extension url="required">
          <valueString value="type"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <type value="MedicationDispense"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods. For example, A server **SHALL** be capable of returning all medications for a patient using one of or both: `GET /MedicationDispense?patient=[id]` `GET /MedicationDispense?patient=[id]&amp;_include=MedicationDispense:medication`"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchInclude value="MedicationDispense:medication">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="type"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-type"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="encounter"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
        <extension url="required">
          <valueString value="authoredon"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="intent"/>
        </extension>
      </extension>
      <type value="MedicationRequest"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods. For example, A server **SHALL** be capable of returning all medications for a patient using one of or both: `GET /MedicationRequest?patient=[id]` `GET /MedicationRequest?patient=[id]&amp;_include=MedicationRequest:medication`"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
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      </referencePolicy>
      <searchInclude value="MedicationRequest:medication">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="intent"/>
        <definition
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        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
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        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="encounter"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-encounter"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="authoredon"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationrequest-authoredon"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
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    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <extension url="required"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="category"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
      </extension>
      <type value="Observation"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/StructureDefinition/vitalsigns"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="category"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-category"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-observation-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Organization"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Systems **SHALL** support National Provider Identifier (NPI) for organizations and **SHOULD** support Clinical Laboratory Improvement Amendments (CLIA) identifiers for `Organization.Identifier`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
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        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
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        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-name"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="address"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-organization-address"/>
        <type value="string"/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension url="required">
          <valueString value="birthdate"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
        </extension>
        <valueCode value="SHOULD"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
        </extension>
        <extension url="required">
          <valueString value="gender"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="birthdate"/>
        </extension>
        <extension url="required">
          <valueString value="name"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="gender"/>
        </extension>
        <extension url="required">
          <valueString value="name"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="death-date"/>
        </extension>
        <extension url="required">
          <valueString value="family"/>
        </extension>
      </extension>
      <type value="Patient"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* For ONC's USCDI requirements, each Patient must support the following additional elements. These elements are included in the formal definition of the profile. The patient examples include all of these elements.

  1. contact detail (e.g. a telephone number or an email address)
  1. a communication language
  1. a race
  1. an ethnicity
  1. a birth sex*
  1. previous name
     - Previous name is represented by providing an end date in the `Patient.name.period` element for a previous name.
  1. suffix
     - Suffix is represented using the `Patient.name.suffix` element.
* The Patient's Social Security Numbers **SHOULD NOT** be used as a patient identifier in `Patient.identifier.value`."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="birthdate"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-birthdate"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="death-date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-death-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *day*.

A server **SHALL** support a value a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="family"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-family"/>
        <type value="string"/>
        <documentation
                       value="A server **SHALL** support a value precise to the *day*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="gender"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-gender"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="given"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-given"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-patient-name"/>
        <type value="string"/>
      </searchParam>
      <operation>
        <name value="member-match"/>
        <definition
                    value="http://hl7.org/fhir/us/davinci-hrex/OperationDefinition/member-match"/>
      </operation>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Practitioner"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="Servers that support only US Core Practitioner Profile **SHALL** provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.
"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="_id"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-id"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="name"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-name"/>
        <type value="string"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="identifier"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitioner-identifier"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="PractitionerRole"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* The US Core Location  and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they **SHOULD** be used as the default profile if referenced by another US Core profile."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchInclude value="PractitionerRole:endpoint">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchInclude value="PractitionerRole:practitioner">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </searchInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="specialty"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-specialty"/>
        <type value="token"/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="practitioner"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-practitionerrole-practitioner"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="code"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="status"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <extension url="required">
          <valueString value="patient"/>
        </extension>
        <extension url="required">
          <valueString value="date"/>
        </extension>
      </extension>
      <type value="Procedure"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="* Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.
  * Only LOINC concepts that reflect actual procedures **SHOULD** be used
* A procedure including an implantable device **SHOULD** use `Procedure.focalDevice` with a reference to the *US Core Implantable Device Profile*."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </referencePolicy>
      <searchRevInclude value="Provenance:target">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </searchRevInclude>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="status"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <name value="patient"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient"/>
        <type value="reference"/>
        <documentation
                       value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.

The server **SHALL** support both."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="date"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-date"/>
        <type value="date"/>
        <documentation
                       value="A client **SHALL** provide a value precise to the *second + time offset*.

A server **SHALL** support a value precise to the *second + time offset*."/>
      </searchParam>
      <searchParam>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <name value="code"/>
        <definition
                    value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-code"/>
        <type value="token"/>
        <documentation
                       value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.

The server **SHALL** support both."/>
      </searchParam>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHALL"/>
      </extension>
      <type value="Provenance"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance">🔗 
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="If a system receives a provider in `Provenance.agent.who` as free text they must capture who sent them the information as the organization. On request they **SHALL** provide this organization as the source and **MAY** include the free text provider."/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="search-type"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
        <code value="read"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="vread"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="patch"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <code value="history-instance"/>
      </interaction>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="MAY"/>
        </extension>
        <code value="history-type"/>
      </interaction>
      <referencePolicy value="resolves"/>
    </resource>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHOULD"/>
      </extension>
      <type value="ValueSet"/>
      <operation>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
        <name value="expand"/>
        <definition
                    value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"/>
        <documentation
                       value="A client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions."/>
      </operation>
    </resource>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="transaction"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="batch"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="search-system"/>
    </interaction>
    <interaction>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="MAY"/>
      </extension>
      <code value="history-system"/>
    </interaction>
  </rest>
</CapabilityStatement>