Da Vinci Risk Adjustment Implementation Guide
2.1.0 - STU 2.1

Da Vinci Risk Adjustment Implementation Guide, published by HL7 International / Clinical Quality Information. 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-ra/ and changes regularly. See the Directory of published versions

## : Risk Adjustment Reporting Server Capability Statement - XML Representation

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

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    <CapabilityStatement xmlns="http://hl7.org/fhir">
      <id value="ra-reporting-server"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement ra-reporting-server</b></p><a name="ra-reporting-server"> </a><a name="hcra-reporting-server"> </a><h2 id="title">Risk Adjustment Reporting Server Capability Statement</h2><ul><li>Implementation Guide Version: 2.1.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>xml</code>, <code>json</code></li><li>Supported Patch Formats: <code>application/json-patch+json</code></li><li>Published on: 2025-11-20 19:49:53+0000 </li><li>Published by: HL7 International / Clinical Quality Information </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="shallIGs">SHALL Support the Following Implementation Guides</h3><ul><li><a href="index.html">http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/hl7.fhir.us.davinci-ra</a></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>Da Vinci Risk Adjustment Reporting Server <strong>SHALL</strong> support the operation and profiles specified in this implementation guide.</p>
    </div><div class="lead"><em>Security</em></div><blockquote><div><p>For general security consideration refer to the <a href="http://hl7.org/fhir/R4/secpriv-module.html">Security and Privacy Considerations</a>.</p>
    </div></blockquote><div class="lead"><em>Summary of System-wide Interactions</em></div><ul><li><strong>SHOULD </strong>support the <code>batch</code>interaction.</li><li><strong>MAY </strong>support the <code>transaction</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="DELETE a resource (delete interaction)">D</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="#Measure1-1">Measure</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-ra-model-measure.html">Risk Adjustment Model Measure</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td><code>$ra.evaluate-measure</code></td></tr><tr><td><a href="#MeasureReport1-2">MeasureReport</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-ra-measurereport.html">Risk Adjustment Coding Gap MeasureReport</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td>date, evaluatedResource, identifier, measure, patient, period, reporter, status, subject, measurereport-category</td><td><code>MeasureReport.evaluatedResources</code></td><td/><td/></tr><tr><td><a href="#Bundle1-3">Bundle</a></td><td>Supported Profiles<br/>  <a href="StructureDefinition-ra-measurereport-bundle.html">Risk Adjustment Coding Gap Report Bundle</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Measure1-1" class="panel-title"><span style="float: right;">Resource Conformance: MAY </span>Measure</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/measure.html">Measure</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 <code>read</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-ra-model-measure.html">Risk Adjustment Model Measure</a></p></div></div><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>MAY</b></td><td><a href="OperationDefinition-ra.evaluate-measure.html">$ra.evaluate-measure</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MeasureReport1-2" class="panel-title"><span style="float: right;">Resource Conformance: SHALL </span>MeasureReport</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/measurereport.html">MeasureReport</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>literal</code>, <code>logical</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <br/><code>read</code><div><p>Read allows maintainers of the MeasureReports to get the logical definitions of the MeasureReports</p>
    </div><code>update</code><div><p>Update allows maintainers of the MeasureReports to update the logical definitions of a MeasureReport by its id or create a new one if it is new</p>
    </div><code>patch</code><div><p>Patch allows maintainers of the MeasureReports to update the logical definition of a MeasureReport by posting a set of changes to it</p>
    </div><code>delete</code><div><p>Delete allows maintainers of the MeasureReports to delete the logical definition of a MeasureReport</p>
    </div><code>create</code><div><p>Create allows maintainers of the MeasureReports to create the logical definition of a MeasureReport</p>
    </div><code>search-type</code><div><p>Search allows maintainers of the MeasureReports to find the logical definition of a MeasureReport</p>
    </div></li><li><strong>MAY</strong> support <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-ra-measurereport.html">Risk Adjustment Coding Gap MeasureReport</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/measurereport.html#search">date</a></td><td><code>date</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">measure</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/measurereport.html#search">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/measurereport.html#search">period</a></td><td><code>date</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">status</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">subject</a></td><td><code>reference</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-measurereport-category.html">measurereport-category</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">evaluatedResource</a></td><td><code>reference</code></td><td><div/></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">identifier</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/measurereport.html#search">reporter</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="Bundle1-3" class="panel-title"><span style="float: right;">Resource Conformance: MAY </span>Bundle</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/bundle.html">Bundle</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>literal</code>, <code>logical</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <br/><code>read</code><div><p>Read allows maintainers of the Bundles to get the logical definitions of the Bundle</p>
    </div><code>update</code><div><p>Update allows maintainers of the Bundles to update the logical definitions of a Bundles by its id or create a new one if it is new</p>
    </div><code>patch</code><div><p>Patch allows maintainers of the Bundles to update the logical definition of a Bundles by posting a set of changes to it</p>
    </div><code>delete</code><div><p>Delete allows maintainers of the Bundles to delete the logical definition of a Bundles</p>
    </div><code>create</code><div><p>Create allows maintainers of the Bundles to create the logical definition of a Bundle</p>
    </div><code>search-type</code><div><p>Search allows maintainers of the Bundles to find the logical definition of a Bundle</p>
    </div></li><li><strong>MAY</strong> support <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-ra-measurereport-bundle.html">Risk Adjustment Coding Gap Report Bundle</a></p></div></div><p/></div></div></div></div>
      </text>
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        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-ra/CapabilityStatement/ra-reporting-server"/>
      <version value="2.1.0"/>
      <name value="RAServerCapabilityStatement"/>
      <title value="Risk Adjustment Reporting Server Capability Statement"/>
      <status value="active"/>
      <experimental value="false"/>
      <date value="2025-11-20T19:49:53+00:00"/>
      <publisher value="HL7 International / Clinical Quality Information"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="This profile defines the expected capabilities of a Da Vinci Risk Adjustment Reporting Server when conforming to the Da Vinci Risk Adjustment Implementation Guide for interactions between Reporting Clients and Reporting Servers. Servers are the actors receiving the request for Risk Adjustment Coding Gap Reports for patient(s) and for Risk Adjustmenet Models that are available on the Server. This CapabilityStatement resource includes the complete list of the *recommended* Da Vinci Risk Adjustment profiles and RESTful operations that a Risk Adjustment Reporting Server could support. Servers have the option of choosing from this list 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="xml"/>
      <format value="json"/>
      <patchFormat value="application/json-patch+json"/>
      <implementationGuide
                           value="http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/hl7.fhir.us.davinci-ra"/>
      <rest>
        <mode value="server"/>
        <documentation
                       value="Da Vinci Risk Adjustment Reporting Server **SHALL** support the operation and profiles specified in this implementation guide."/>
        <security>
          <description
                       value="For general security consideration refer to the [Security and Privacy Considerations](http://hl7.org/fhir/R4/secpriv-module.html)."/>
        </security>
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          <type value="Measure"/>
          <supportedProfile
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          <interaction>
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          <supportedProfile
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            <code value="update"/>
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          </interaction>
          <interaction>
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            <code value="delete"/>
            <documentation
                           value="Delete allows maintainers of the MeasureReports to delete the logical definition of a MeasureReport"/>
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          <interaction>
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              <valueCode value="MAY"/>
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            <code value="history-instance"/>
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            <extension
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            <code value="create"/>
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                           value="Create allows maintainers of the MeasureReports to create the logical definition of a MeasureReport"/>
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          <interaction>
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            <code value="search-type"/>
            <documentation
                           value="Search allows maintainers of the MeasureReports to find the logical definition of a MeasureReport"/>
          </interaction>
          <conditionalCreate value="true"/>
          <conditionalUpdate value="true"/>
          <conditionalDelete value="multiple"/>
          <referencePolicy value="literal"/>
          <referencePolicy value="logical"/>
          <searchInclude value="MeasureReport.evaluatedResources"/>
          <searchParam>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <name value="date"/>
            <definition
                        value="http://hl7.org/fhir/SearchParameter/MeasureReport-date"/>
            <type value="date"/>
          </searchParam>
          <searchParam>
            <extension
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              <valueCode value="SHOULD"/>
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            <name value="evaluatedResource"/>
            <definition
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            <type value="reference"/>
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          <searchParam>
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            <name value="identifier"/>
            <definition
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            <type value="token"/>
          </searchParam>
          <searchParam>
            <extension
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              <valueCode value="SHALL"/>
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            <name value="measure"/>
            <definition
                        value="http://hl7.org/fhir/SearchParameter/MeasureReport-measure"/>
            <type value="reference"/>
          </searchParam>
          <searchParam>
            <extension
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              <valueCode value="SHALL"/>
            </extension>
            <name value="patient"/>
            <definition
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            <type value="reference"/>
          </searchParam>
          <searchParam>
            <extension
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            <name value="period"/>
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              <valueCode value="SHALL"/>
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            <name value="status"/>
            <definition
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            <type value="token"/>
          </searchParam>
          <searchParam>
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            <name value="subject"/>
            <definition
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            <type value="reference"/>
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          <searchParam>
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            <name value="measurereport-category"/>
            <definition
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            <type value="token"/>
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        </resource>
        <resource>
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          <type value="Bundle"/>
          <supportedProfile
                            value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle"/>
          <interaction>
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                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
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            <code value="read"/>
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            <code value="update"/>
            <documentation
                           value="Update allows maintainers of the Bundles to update the logical definitions of a Bundles by its id or create a new one if it is new"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <code value="patch"/>
            <documentation
                           value="Patch allows maintainers of the Bundles to update the logical definition of a Bundles by posting a set of changes to it"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <code value="delete"/>
            <documentation
                           value="Delete allows maintainers of the Bundles to delete the logical definition of a Bundles"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="MAY"/>
            </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>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <code value="create"/>
            <documentation
                           value="Create allows maintainers of the Bundles to create the logical definition of a Bundle"/>
          </interaction>
          <interaction>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
              <valueCode value="SHALL"/>
            </extension>
            <code value="search-type"/>
            <documentation
                           value="Search allows maintainers of the Bundles to find the logical definition of a Bundle"/>
          </interaction>
          <conditionalCreate value="true"/>
          <conditionalUpdate value="true"/>
          <conditionalDelete value="multiple"/>
          <referencePolicy value="literal"/>
          <referencePolicy value="logical"/>
        </resource>
        <interaction>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
            <valueCode value="SHOULD"/>
          </extension>
          <code value="batch"/>
        </interaction>
        <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="search-system"/>
        </interaction>
        <interaction>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
            <valueCode value="MAY"/>
          </extension>
          <code value="history-system"/>
        </interaction>
      </rest>
    </CapabilityStatement>