International Patient Access
1.0.0 - STU1
International Patient Access
1.0.0 - STU1
International Patient Access, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ipa/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use |
{
"resourceType" : "CapabilityStatement",
"id" : "ipa-client",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2 id=\"title\">International Patient Access Client CapabilityStatement</h2><ul><li>Implementation Guide Version: 1.0.0</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: Thu Dec 08 00:00:00 UTC 2022</li><li>Published by: HL7 International / Patient Care</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=\"http://hl7.org/fhir/smart-app-launch/STU2/ImplementationGuide-hl7.fhir.uv.smart-app-launch.html\">http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch</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>client</code></h3></div><div class=\"panel-body\"><div><p>The IPA Client <strong>SHALL</strong>:</p>\n<ol>\n<li>Support the IPA conformance expectations for the Patient resource profile.</li>\n<li>Support the IPA conformance expectations for each IPA resource type they support</li>\n<li>Implement the RESTful behavior according to the FHIR specification.</li>\n<li>Support JSON source formats for all IPA interactions.</li>\n</ol>\n<p>The IPA Client <strong>SHOULD</strong>:</p>\n<ol>\n<li>For the purposes of safety, specify the patient id when searching other resources.</li>\n</ol>\n</div><div class=\"lead\"><em>Security</em></div><blockquote><div><ol>\n<li>See the <a href=\"security.html\">General Security Considerations</a> section for requirements and recommendations.</li>\n</ol>\n</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 all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#AllergyIntolerance1-1\">AllergyIntolerance</a></td><td><a href=\"StructureDefinition-ipa-allergyintolerance.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerance</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>clinical-status, patient, patient+clinical-status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Condition1-2\">Condition</a></td><td><a href=\"StructureDefinition-ipa-condition.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-condition</a><br/><em>Additional supported profiles:</em><br/>\u00a0\u00a0<a href=\"StructureDefinition-ipa-problem-list-item.html\">IPA-problem-list-item</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>category, clinical-status, verification-status, code, onset-date, patient, patient+clinical-status, patient+category, patient+category+clinical-status, patient+code, patient+onset-date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#DocumentReference1-3\">DocumentReference</a></td><td><a href=\"StructureDefinition-ipa-documentreference.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-documentreference</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, category, contenttype, date, period, status, type, patient, patient+category, patient+category+date, patient+type, patient+contenttype, patient+status, patient+type+date, patient+type+period</td><td/><td><code>Provenance:target</code></td><td><code>$docref</code></td></tr><tr><td><a href=\"#Immunization1-4\">Immunization</a></td><td><a href=\"StructureDefinition-ipa-immunization.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>date, status, patient, patient+date, patient+status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Medication1-5\">Medication</a></td><td><a href=\"StructureDefinition-ipa-medication.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medication</a></td><td>y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td></td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#MedicationRequest1-6\">MedicationRequest</a></td><td><a href=\"StructureDefinition-ipa-medicationrequest.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>category, code, authoredon, intent, status, patient, patient+intent, patient+intent+authoredon, patient+intent+status</td><td><code>MedicationRequest:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#MedicationStatement1-7\">MedicationStatement</a></td><td><a href=\"StructureDefinition-ipa-medicationstatement.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>status, patient, patient+status</td><td><code>MedicationStatement:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Observation1-8\">Observation</a></td><td><a href=\"StructureDefinition-ipa-observation.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation</a><br/><em>Additional supported profiles:</em><br/>\u00a0\u00a0<a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">Vital Signs Profile</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>category, code, date, status, patient, patient+category, patient+code, patient+category+date, patient+category+status, patient+code+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Patient1-9\">Patient</a></td><td><a href=\"StructureDefinition-ipa-patient.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient</a></td><td>y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, birthdate, family, gender, given, identifier, name, family+gender, birthdate+family, birthdate+name, gender+name</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Practitioner1-10\">Practitioner</a></td><td><a href=\"StructureDefinition-ipa-practitioner.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitioner</a></td><td>y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td></td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#PractitionerRole1-11\">PractitionerRole</a></td><td><a href=\"StructureDefinition-ipa-practitionerrole.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-practitionerrole</a></td><td>y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td></td><td><code>PractitionerRole:endpoint</code>, <code>PractitionerRole:practitioner</code></td><td><code>Provenance:target</code></td><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: SHOULD</span>AllergyIntolerance</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-allergyintolerance.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-allergyintolerance</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the AllergyIntolerance resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the AllergyIntolerance resource.</p>\n</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/allergyintolerance.html#search\">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. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/allergyintolerance.html#search\">clinical-status</a></td><td><code>token</code></td><td><div><p>active | inactive | resolved</p>\n</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/R4/allergyintolerance.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/allergyintolerance.html#search\">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=\"Condition1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>Condition</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-condition.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-condition</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-ipa-problem-list-item.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-problem-list-item</a></p></div><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the Condition resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the Condition resource.</p>\n<p>Client applications should be prepared to encounter codes they do not recognize and handle the records\naccordingly. Servers SHOULD populate Condition.code.coding.display and/or Condition.code.text so that\nclients can always at least display the condition even if they do not know the codes that are used. Clients should be careful making use of the <code>code</code> search parameter given that the codes used vary so much.</p>\n<p>Safety Issues:</p>\n<ul>\n<li>Clients SHALL not treat all conditions as if they are part of the patient's current problem list\n<ul>\n<li>Note that some Condition resources may not have these status codes - this is usually due to poor record keeping reflected in legacy data</li>\n<li>Servers SHOULD avoid leaving these status codes missing</li>\n</ul>\n</li>\n<li>Clients SHALL pay attention to the <code>clinicalStatus</code> and <code>verificationStatus</code> and display and process them correctly * Clients SHALL still work safely when the server does not support all the search parameters listed here.</li>\n</ul>\n</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/condition.html#search\">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. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/condition.html#search\">category</a></td><td><code>token</code></td><td><div><p>The category of the condition</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/condition.html#search\">clinical-status</a></td><td><code>token</code></td><td><div><p>The clinical status of the condition</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/condition.html#search\">verification-status</a></td><td><code>token</code></td><td><div><p>The verification status of the condition</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/condition.html#search\">code</a></td><td><code>token</code></td><td><div><p>Code for the condition</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/condition.html#search\">onset-date</a></td><td><code>date</code></td><td><div><p>Date of onset for the condition</p>\n</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/R4/condition.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">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/R4/condition.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">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/R4/condition.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">category</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">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/R4/condition.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">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/R4/condition.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/condition.html#search\">onset-date</a></td><td><code>reference</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"DocumentReference1-3\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>DocumentReference</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-documentreference.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-documentreference</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the DocumentReference resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the DocumentReference resource.</p>\n</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/documentreference.html#search\">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least an id value and <strong>MAY</strong> provide both the Type and id values. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div></div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">category</a></td><td><code>token</code></td><td><div><p>Categorization of document</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">contenttype</a></td><td><code>token</code></td><td><div><p>Mime type of the content, may include charset</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">date</a></td><td><code>date</code></td><td><div><p>When this document reference was created</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">period</a></td><td><code>date</code></td><td><div><p>Time of service that is being documented</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">status</a></td><td><code>token</code></td><td><div><p>current | superseded | entered-in-error</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">type</a></td><td><code>token</code></td><td><div><p>Kind of document (LOINC if possible)</p>\n</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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">category</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">contenttype</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">type</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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/R4/documentreference.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">type</a>+<a href=\"http://hl7.org/fhir/R4/documentreference.html#search\">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>SHOULD</b></td><td><a href=\"OperationDefinition-docref.html\">$docref</a></td><td><div><p>A client <strong>SHOULD</strong> be capable of transacting a $docref operation and capable of accessing the document using the using the link provided in the <code>DocumentReference.content.attachment.url</code> element.</p>\n</div></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Immunization1-4\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>Immunization</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-immunization.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-immunization</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the Immunization resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the Immunization resource.</p>\n</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/immunization.html#search\">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least an id value and <strong>MAY</strong> provide both the Type and id values. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/immunization.html#search\">date</a></td><td><code>date</code></td><td><div><p>Vaccination (non)-Administration Date</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/immunization.html#search\">status</a></td><td><code>token</code></td><td><div><p>Immunization event status</p>\n</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/R4/immunization.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/immunization.html#search\">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/R4/immunization.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/immunization.html#search\">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=\"Medication1-5\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>Medication</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-medication.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medication</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><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-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the the MedicationStatement or MedicationRequest resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the Medication resource.</p>\n</div></blockquote></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"MedicationRequest1-6\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>MedicationRequest</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-medicationrequest.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the MedicationRequest resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the MedicationStatement, MedicationRequest and Medication resource.</p>\n<p>Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.</p>\n<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 <code>_include</code> parameter for searching this element. The client application <strong>SHALL</strong> support all methods. For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both:</p>\n<p><code>GET /MedicationStatement?patient=[id]</code></p>\n<p><code>GET /MedicationStatement?patient=[id]&_include=MedicationStatement:medication</code></p>\n<p>When representing a prescribed medication, servers SHOULD use codings at the level of a clinical drug rather than ingredient or dose form (e.g. "loratadine 10mg oral tablet", rather than a bare ingredient like "loratadine" or a dose form like "loratadine oral tablet").</p>\n</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/medicationrequest.html#search\">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least an id value and <strong>MAY</strong> provide both the Type and id values. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">category</a></td><td><code>token</code></td><td><div><p>Returns prescriptions with different categories</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">code</a></td><td><code>token</code></td><td><div><p>Return prescriptions of this medication code</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">authoredon</a></td><td><code>date</code></td><td><div><p>Returns prescriptions written on this date</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">intent</a></td><td><code>token</code></td><td><div><p>Return prescriptions with this encounter identifier</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">status</a></td><td><code>token</code></td><td><div><p>Status of the prescription</p>\n</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/R4/medicationrequest.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">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/R4/medicationrequest.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">intent</a>+<a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">authoredon</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/R4/medicationrequest.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">intent</a>+<a href=\"http://hl7.org/fhir/R4/medicationrequest.html#search\">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=\"MedicationStatement1-7\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>MedicationStatement</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-medicationstatement.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationstatement</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the MedicationStatement resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the MedicationStatement, MedicationRequest and Medication resource.</p>\n<p>Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.</p>\n<p>The MedicationStatement 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 <code>_include</code> parameter for searching this element. The client application <strong>SHALL</strong> support all methods.For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both:</p>\n<p><code>GET /MedicationStatement?patient=[id]</code></p>\n<p><code>GET/MedicationStatement?patient=[id]&_include=MedicationStatement:medication</code></p>\n</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/medicationstatement.html#search\">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least an id value and <strong>MAY</strong> provide both the Type and id values.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/medicationstatement.html#search\">status</a></td><td><code>token</code></td><td><div><p>Return statements that match the given status</p>\n</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/R4/medicationstatement.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/medicationstatement.html#search\">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=\"Observation1-8\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD</span>Observation</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-observation.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"http://hl7.org/fhir/R4/vitalsigns.html\">http://hl7.org/fhir/StructureDefinition/vitalsigns</a></p></div><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>If the client supports the Observation resource, the client <strong>SHALL</strong> support the IPA profile and the conformance expectations for the Observation resource.</p>\n</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/observation.html#search\">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least an id value and <strong>MAY</strong> provide both the Type and id values. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/observation.html#search\">category</a></td><td><code>token</code></td><td><div><p>The classification of the type of observation</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/observation.html#search\">code</a></td><td><code>token</code></td><td><div><p>The code of the observation type</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/observation.html#search\">date</a></td><td><code>date</code></td><td><div><p>Obtained date/time. If the obtained element is a period, a date that falls in the period</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/R4/observation.html#search\">status</a></td><td><code>token</code></td><td><div><p>The status of the observation</p>\n</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/R4/observation.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">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/R4/observation.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">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/R4/observation.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">category</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">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/R4/observation.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">category</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">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/R4/observation.html#search\">patient</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">code</a>+<a href=\"http://hl7.org/fhir/R4/observation.html#search\">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=\"Patient1-9\" 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-6\"><span class=\"lead\">Base System Profile</span><br/><a href=\"StructureDefinition-ipa-patient.html\">http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-patient</a></div><div class=\"col-lg-3\"><span class=\"lead\">Profile Conformance</span><br/><b>SHALL</b></div><div class=\"col-lg-3\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div></div><p/><div class=\"row\"><div class=\"col-lg-6\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>Client applications SHALL be able to access the patient record using the following API call:</p>\n<p><code>GET [url]/Patient/[id]</code></p>\n<p>Client application MAY use these search parameters that servers are required to support to access the patient record:</p>\n<ul>\n<li><code>_id</code></li>\n<li><code>identifier</code></li>\n</ul>\n<p>Servers are not required to support any additional search parameters, and clients SHOULD not expect servers to do so.</p>\n<p>Additional rules and guidance for supporting <code>Patient.link</code>:</p>\n<ul>\n<li>The server:\n<ul>\n<li>SHALL have no more than one Patient with a status of active = "true" <em>from the server being queried</em></li>\n<li>MAY include inactive patients on the <em>same server</em></li>\n<li>MAY include inactive or active patients from a <em>different server</em></li>\n<li>When returning a <a href=\"http://hl7.org/fhir/bundle.html\">search Bundle</a> that contains more than one Patient record for the same patient, the Patient record(s) SHALL use the <code>Patient.link</code> attribute to cross-link the Patient resources.</li>\n</ul>\n</li>\n<li>The client:\n<ul>\n<li>SHALL be able to follow the link(s) to the other Patient resource(s) and understand the direction of the link (in other words, which Patient is linked to which other Patient)</li>\n<li>SHALL understand the <code>Patient.link.type</code> code which defines the type of link between this Patient resource and another Patient resource</li>\n<li>SHALL be aware of the linked Patient <code>active</code> flag and that inactive patients may have relevant information</li>\n</ul>\n</li>\n</ul>\n</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/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">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>. A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">family</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">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. The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">given</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide both the system and code values. 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