us-core-client
type: Basic
node role: treeRoot
id:
  v: us-core-client
text:
  status:
    v: extensions
  div:
    v: These requirements apply to the actor: US Core Requestor (Clients including Certifying Systems) Legend: Key: An identifier for the requirement. Context: The name and link to the narrative section that pertains to the requirement. There can be more than one narrative section that references the same requirement. Conformance: The conformance verb of the requirement: SHALL, SHOULD, MAY, SHALL-NOT, or SHOULD-NOT. Requirement: The actual requirements statement, which is a direct quote from the IG and may include helpful context in square brackets. Note that statements in the narrative section that contain multiple requirements in a single context are split into individual requirement statements. Key Context Conformance Requirement CONF-0022 •general-requirements.html#required-bindings-for-coded-elements SHALL [When populating a coded element with a required binding to a ValueSet definition] US Core Requestors SHALL be capable of processing the code [from the required binding ValueSet] CONF-0028 •general-requirements.html#extensible-binding-for-coded-elements SHALL US Core Requestors SHALL be capable of processing the code in ['DataElement.code.code' or text in 'DataElement.code.text' for a DataElement.code that has an extensible binding] CONF-0032 •general-requirements.html#modifier-elements SHALL Clients SHALL be able to process [elements that are] Mandatory or Must Support elements CONF-0035 •general-requirements.html#modifier-elements SHOULD receivers SHOULD accept instances that ... contain unexpected data elements [definition] CONF-0036 •general-requirements.html#modifier-elements SHOULD-NOT receivers SHOULD NOT accept instances that ... contain unexpected data elements … when those elements are modifier elements [definition] CONF-0037 •general-requirements.html#modifier-elements SHOULD Unless a Client determines they can process [a resource with a modifier] safely, rejection is typically the only safe action if unexpected modifier elements are present. CONF-0053 •g…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
    l: structuredefinition-wg
  value: Code
    v: cgp
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
    l: structuredefinition-fmm
  value: Integer
    v: 3
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core
        l: hl7.fhir.us.core
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
    l: structuredefinition-standards-status
  value: Code
    v: trial-use
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
        l: structuredefinition-conformance-derivedFrom
      value: Canonical
        v: http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core
        l: hl7.fhir.us.core
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url
    l: extension-Requirements.url
  value: Uri
    v: http://hl7.org/fhir/us/core/Requirements/us-core-client
    l: us-core-client
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version
    l: extension-Requirements.version
  value: String
    v: 9.0.0
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name
    l: extension-Requirements.name
  value: String
    v: USCoreClientRequirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title
    l: extension-Requirements.title
  value: String
    v: US Core Client Requirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status
    l: extension-Requirements.status
  value: Code
    v: draft
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date
    l: extension-Requirements.date
  value: DateTime
    v: 2026-05-31T04:04:04+10:00
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher
    l: extension-Requirements.publisher
  value: String
    v: HL7 International / Cross-Group Projects
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact
    l: extension-Requirements.contact
  value: ContactDetail
    name:
      v: HL7 International / Cross-Group Projects
    telecom:
      system:
        v: url
      value:
        v: http://www.hl7.org/Special/committees/cgp
    telecom:
      system:
        v: email
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description
    l: extension-Requirements.description
  value: Markdown
    v: This [Requirements](https://hl7.org/fhir/R5/requirements.html) resource lists the US Core Requestor (Client) requirements defined in the US Core Implementation Guide narrative sections. These requirements represent the regulatory, business, functional, and technical specifications that design artifacts must meet to ensure interoperability.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction
    l: extension-Requirements.jurisdiction
  value: CodeableConcept
    coding:
      system:
        v: urn:iso:std:iso:3166
        l: 3166
      code:
        v: US
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor
    l: extension-Requirements.actor
  value: Canonical
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/display
        l: display
      value: String
        v: US Core Requestor (Clients including Certifying Systems)
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0022
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code
      v: SHALL
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
      l: extension-Requirements.statement.requirement
    value: Markdown
      v: [When populating a coded element with a [required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition] US Core Requestors **SHALL** be capable of processing the code [from the required binding ValueSet]
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
      l: extension-Requirements.statement.reference
    value: Url
      v: general-requirements.html#required-bindings-for-coded-elements
      l: general-requirements.html
      l: extension
      l:
        value: Url
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
    l: extension-Requirements.statement
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0028
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code
      v: SHALL
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
      l: extension-Requirements.statement.requirement
    value: Markdown
      v: US Core Requestors **SHALL** be capable of processing the code in ['DataElement.code.code' or text in 'DataElement.code.text' for a DataElement.code that has an extensible binding]
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
      l: extension-Requirements.statement.reference
    value: Url
      v: general-requirements.html#extensible-binding-for-coded-elements
      l: general-requirements.html
      l: extension
      l:
        value: Url
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
    l: extension-Requirements.statement
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0032
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
      l: extension-Requirements.statement.conformance
    value: Code

Url
v: general-requirements.html#CONF-0022
l: general-requirements.html

Url
v: general-requirements.html#CONF-0028
l: general-requirements.html

Code
v: SHALL

url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
  l: extension-Requirements.statement.requirement
value: Markdown
  v: Clients **SHALL** be able to process [elements that are] [Mandatory](https://hl7.org/fhir/us/core/must-support.html) or [Must Support elements](https://hl7.org/fhir/us/core/must-support.html)

url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
  l: extension-Requirements.statement.reference
value: Url
  v: general-requirements.html#modifier-elements
  l: general-requirements.html
  l: extension
  l:
    url:
      v: http://hl7.org/fhir/StructureDefinition/narrativeLink
      l: narrativeLink
    value: Url
      v: general-requirements.html#CONF-0032
      l: general-requirements.html

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0035
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: receivers **SHOULD** accept instances that ... contain unexpected data elements [[definition](http://hl7.org/fhir/R4/conformance-rules.html#isModifier)]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#modifier-elements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0035
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0036
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: receivers **SHOULD NOT** accept instances that ... contain unexpected data elements … when those elements are modifier elements [[definition](http://hl7.org/fhir/R4/conformance-rules.html#isModifier)]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#modifier-elements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0036
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0037
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Unless a Client determines they can process [a resource with a modifier] safely, rejection is typically the only safe action if unexpected modifier elements are present.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#modifier-elements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0037
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0053
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `token` type searchparameter [(how to search by token)](http://hl7.org/fhir/R4/search.html#token) The Client **SHALL** provide at least a code value
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0053
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0054
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `token` type searchparameter [(how to search by token)](http://hl7.org/fhir/R4/search.html#token) The Client … **MAY** provide both the system and code values.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0054
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0056
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `reference` type searchparameter [(how to search by reference)](http://hl7.org/fhir/R4/search.html#reference) The Client **SHALL** provide at least an id value
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0056
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0057
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `reference` type searchparameter [(how to search by reference)](http://hl7.org/fhir/R4/search.html#reference) The Client … **MAY** provide both the Type and id values.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0057
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0059
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Client **SHALL** provide values precise to the day for elements of datatype `date`
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0059
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0060
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Client **SHALL** provide values precise … to the second + time offset for elements of datatype `dateTime`.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-requirements.html#fhir-restful-search-api-requirements
    l: general-requirements.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-requirements.html#CONF-0060
        l: general-requirements.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0076
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…: US Core Requestors **SHALL** be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0076
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0079
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…: When querying US Core Responders, US Core Requestors **SHALL** interpret missing data elements within resource instances as data not present in the US Core Responder’s system.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0079
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0082
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…: US Core Requestors **SHALL** be able to process resource instances containing data elements asserting missing information.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0082
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0083
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Implementors [US Core Requestors] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as Must Support elements as documented above and below;
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#additional-uscdi-requirements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0083
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0085
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Implementors [US Core Requestors] [not] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as … optional.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#additional-uscdi-requirements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0085
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0092
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [W]hen claiming conformance [to a profile with a must support primitive element] … US Core requestors **SHALL** be capable of processing the value [of the primitive element]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---primitive-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0092
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0098
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When claiming conformance [to a must support complex element with no must support sub-elements] … US Core Requestors **SHALL** be capable of processing a value in [the complex element]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---complex-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0098
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0100
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When claiming conformance [to a must support complex element with one or more must support sub-elements] … US Core Requestors **SHALL** be capable of processing a values in [each must support sub-element]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---complex-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0100
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0102
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems [US Core Requestors] can support the other elements [of a complex element, not labeled as a Must Support], but this is not a requirement of US Core
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---complex-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0102
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0106
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element is labeled as *Must Support*, has multiple target profiles referenced, and specific targets are labeled as *Must Support*," ... - US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [all listed Must Support profile(s).]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---resource-references
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0106
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0108
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems [US Core Requestors] can support other [resource] references [other than those labeled as Must Support], but this is not a requirement of US Core
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---resource-references
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0108
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0110
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference type element is labeled as *Must Support* and has a single target profile referenced ... - US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [the Must Support Profile.]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---resource-references
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0110
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0112
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support … When claiming conformance to [such a] profile: - US Core Requestors **SHALL** be capable of processing [the Must Support data type choice]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---choice-of-data-types
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0112
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0113
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support[, or a profile has] an Additional USCDI element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Additional USCDI … [US Core Requestors] **MAY** support ... processing other [data type] choice elements (such as Observation.effectivePeriod), but this is not a requirement of US Core.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---choice-of-data-types
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0113
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0116
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: There are several instances in this Guide where there is a choice of supporting one or another profile element to meet the Must Support or Additional USCDI requirement. In such cases, … the Client application **SHALL** support all elements.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---choice-of-profile-elements
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0116
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0122
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Implementations [US Core Requestors] supporting Backend Services – for example, to meet US EHR certification requirements [of the ONC IT Health Certification program]- **SHALL** include support for the Client-confidential-asymmetric capability and system/scopes.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: scopes.html#capabilities-for-implementations-supporting-backend-services
    l: scopes.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: scopes.html#CONF-0122
        l: scopes.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0127
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: US Core Clients **SHOULD**follow the [principle of least privilege](https://en.wikipedia.org/wiki/Principle_of_least_privilege) and access only the necessary resources.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: scopes.html#smart-scopes
    l: scopes.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: scopes.html#CONF-0127
        l: scopes.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0172
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client **MAY** request. The app **SHOULD** inspect the returned scopes and accommodate the differences from the scopes it asked for and registered.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: scopes.html#additional-us-core-requirements
    l: scopes.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: scopes.html#CONF-0172
        l: scopes.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0194
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [When Clients request a resource in a specific language] Clients **MAY** request language/locale using the http [Accept-Language](https://www.ietf.org/rfc/rfc2616.txt) header.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-guidance.html#language-support
    l: general-guidance.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-guidance.html#CONF-0194
        l: general-guidance.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0226
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems [Clients] **MAY** support other [DiagnosticReport] categories as well.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: clinical-notes.html#support-requirements
    l: clinical-notes.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: clinical-notes.html#CONF-0226
        l: clinical-notes.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0232
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: a Client **MAY** determine the note and report types supported by a Server by invoking the standard FHIR Value Set Expansion ([$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html)) operation defined in the FHIR R4 specification.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: clinical-notes.html#support-requirements
    l: clinical-notes.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: clinical-notes.html#CONF-0232
        l: clinical-notes.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0251
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application MUST support all methods [for referencing a medication resource: returned bundle, as an external resource, or as a [contained](http://hl7.org/fhir/R4/references.html#contained) resource]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: medication-list.html#options-for-representing-medication
    l: medication-list.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: medication-list.html#CONF-0251
        l: medication-list.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0264
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: To provide a list of a patient’s medications, it **MAY** be necessary to “de-duplicate” them. The de-duplication activity ... **SHOULD** be provided by the Client.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: medication-list.html#de-duplication-of-data
    l: medication-list.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: medication-list.html#CONF-0264
        l: medication-list.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0275
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: API consumers **MAY** query by category when accessing patient information.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: screening-and-assessments.html#category-codes
    l: screening-and-assessments.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: screening-and-assessments.html#CONF-0275
        l: screening-and-assessments.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0286
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Therefore, Client applications must plan on deduplication methods that rely on something other than a common identifier across FHIR versions.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved
    l: changes-between-versions.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: changes-between-versions.html#CONF-0286
        l: changes-between-versions.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0292
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: changes-between-versions.html#expectation-that-data-is-preserved-between-versions
    l: changes-between-versions.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: changes-between-versions.html#CONF-0292
        l: changes-between-versions.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0293
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of] MedicationStatement **MAY** be deprecated, and the data **SHOULD** be mapped to MedicationRequest.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: changes-between-versions.html#expectation-that-data-is-preserved-between-versions
    l: changes-between-versions.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: changes-between-versions.html#CONF-0293
        l: changes-between-versions.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0294
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of] Care teams as represented by CarePlan in DSTU2 **SHOULD** be replaced by and the data mapped to CareTeam in R4
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: changes-between-versions.html#expectation-that-data-is-preserved-between-versions
    l: changes-between-versions.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: changes-between-versions.html#CONF-0294
        l: changes-between-versions.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0299
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When updating between versions, Clients **SHOULD** consider the impact of any changes to data visualization on the usability for the end user and the maintenance of data integrity.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: changes-between-versions.html#expectation-that-data-is-preserved-between-versions
    l: changes-between-versions.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: changes-between-versions.html#CONF-0299
        l: changes-between-versions.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0314
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core Practitioner Profile]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-careteam.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-careteam.html#CONF-0314
        l: StructureDefinition-us-core-careteam.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0315
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core PractitionerRole Profile]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-careteam.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-careteam.html#CONF-0315
        l: StructureDefinition-us-core-careteam.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0316
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core RelatedPerson Profile]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-careteam.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-careteam.html#CONF-0316
        l: StructureDefinition-us-core-careteam.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0369
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [DocumentReference.attachment.url]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-documentreference.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-documentreference.html#CONF-0369
        l: StructureDefinition-us-core-documentreference.html
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-adi-documentreference.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-adi-documentreference.html#CONF-0369
        l: StructureDefinition-us-core-adi-documentreference.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0370
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [DocumentReference.attachment.data]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-documentreference.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-documentreference.html#CONF-0370
        l: StructureDefinition-us-core-documentreference.html
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-adi-documentreference.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-adi-documentreference.html#CONF-0370
        l: StructureDefinition-us-core-adi-documentreference.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0376
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [ Encounter.reasonCode]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-encounter.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-encounter.html#CONF-0376
        l: StructureDefinition-us-core-encounter.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0377
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [Encounter.reasonReference]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-encounter.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-encounter.html#CONF-0377
        l: StructureDefinition-us-core-encounter.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0380
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [Encounter.location.location]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-encounter.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-encounter.html#CONF-0380
        l: StructureDefinition-us-core-encounter.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0381
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [Encounter.serviceProvider]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-encounter.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-encounter.html#CONF-0381
        l: StructureDefinition-us-core-encounter.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0388
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support ... Goal.startDate
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-goal.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-goal.html#CONF-0388
        l: StructureDefinition-us-core-goal.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0389
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support ... Goal.target.dueDate
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-goal.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-goal.html#CONF-0389
        l: StructureDefinition-us-core-goal.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0403
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [using a code in .medicationCodeableConcept to represent medications when supporting the US Core MedicationDispense profile]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationdispense.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationdispense.html#CONF-0403
        l: StructureDefinition-us-core-medicationdispense.html
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0403
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0404
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [referencing a Medication resource in .medicationReferencet to represent medications when supporting the US Core MedicationDispense profile]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationdispense.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationdispense.html#CONF-0404
        l: StructureDefinition-us-core-medicationdispense.html
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0404
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0409
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [medicationRequest.reporedtBoolean]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0409
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0410
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support [MedicationRequest.reportedReference]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0410
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0412
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] the certifying Client application **SHALL** support [MedicationRequest.reasonCode.]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0412
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0413
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] the certifying Client application **SHALL** support [MedicationRequest.reasonReference.]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0413
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0415
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] Clients **SHALL** support all target resources in MedicationRequest.reasonReference.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-medicationrequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-medicationrequest.html#CONF-0415
        l: StructureDefinition-us-core-medicationrequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0476
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support both [the PractitionerRole profile and the Practitioner.address element]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-practitioner.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-practitioner.html#CONF-0476
        l: StructureDefinition-us-core-practitioner.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0483
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program] … Clients **SHALL** support ... US Core Procedure Profile for communicating the reason or justification for a referral as Additional USCDI Requirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-procedure.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-procedure.html#CONF-0483
        l: StructureDefinition-us-core-procedure.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0485
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] The certifying Client application **SHALL** support both [Procedure.reasonCode and Procedure.reasonReference]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-procedure.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-procedure.html#CONF-0485
        l: StructureDefinition-us-core-procedure.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0487
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference … Clients **SHALL** support all target resources in Procedure.reasonReference
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-procedure.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-procedure.html#CONF-0487
        l: StructureDefinition-us-core-procedure.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0517
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program] … Clients **SHALL** support ... US Core ServiceRequest Profile for communicating the reason or justification for a referral as Additional USCDI Requirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-servicerequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-servicerequest.html#CONF-0517
        l: StructureDefinition-us-core-servicerequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0519
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] The certifying Client application **SHALL** support both [ServiceRequest.reasonCode and ServiceRequest.reasonReference]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-servicerequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-servicerequest.html#CONF-0519
        l: StructureDefinition-us-core-servicerequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0521
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference … Clients **SHALL** support all target resources in ServiceRequest.reasonReference
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-servicerequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-servicerequest.html#CONF-0521
        l: StructureDefinition-us-core-servicerequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0525
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Client application **SHALL** support both [ Specimen.identifier and Specimen.accessionIdentifier]
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-specimen.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-specimen.html#CONF-0525
        l: StructureDefinition-us-core-specimen.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0551
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** establish a risk analysis and management regime that conforms with HIPAA security regulatory requirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0551
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0553
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: US Federal systems **SHOULD** conform with the risk management and mitigation requirements defined in NIST 800 series documents.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0553
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0555
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: US Federal systems … **SHOULD** include security category assignment following NIST 800-60 vol. 2 Appendix D.14.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0555
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0557
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The coordination of risk management and the related security and privacy controls … **SHOULD** be defined in the Business Associate Agreement when available.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0557
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0559
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** reference a single time source to establish a common time base for security auditing and clinical data records among computing systems.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0559
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0561
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The selected time service **SHOULD** be documented in the Business Associate Agreement when available.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0561
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0563
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** keep audit logs of the various transactions.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0563
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0565
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** use TLS version 1.2 or higher for all transmissions not taking place over a secure network connection.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0565
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0567
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: US Federal systems **SHOULD** conform with FIPS PUB 140-2.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0567
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0569
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** conform to [FHIR Communications Security](http://hl7.org/fhir/R4/security.html#http) requirements.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0569
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0571
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: For Authentication and Authorization, Systems **SHALL** support any [SMART App Launch version](http://hl7.org/fhir/smart-app-launch/history.html) for Client <-> Server interactions.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0571
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0573
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHALL** implement consent requirements per their state, local, and institutional policies.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0573
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0575
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The Business Associate Agreements **SHOULD** document systems’ mutual consent requirements.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0575
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0577
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **SHOULD** provide Provenance statements using the [US Core Provenance Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-provenance.html) resource and associated requirements.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0577
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0579
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **MAY** implement the [FHIR Digital Signatures](http://hl7.org/fhir/R4/security.html#digital%20signatures)
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0579
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0581
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Systems **MAY** protect the confidentiality of data at rest via encryption and associated access controls.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: security.html#patient-privacy-and-security
    l: security.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: security.html#CONF-0581
        l: security.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0815
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When the Server supports [ the _include search parameter], Clients **SHOULD** use the _include search parameter to retrieve referenced content instead of searching for a resource and then performing a separate search for other references (for example, Patient, Encounter, and Location) in the result set.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-guidance.html#client-best-practices-for-search
    l: general-guidance.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-guidance.html#CONF-0815
        l: general-guidance.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0816
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: If the Server does not support the _include search parameter, Clients **SHOULD** consolidate duplicate searches before searching for referenced resources in the result set
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-guidance.html#client-best-practices-for-search
    l: general-guidance.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-guidance.html#CONF-0816
        l: general-guidance.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0817
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHOULD-NOT
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: **SHOULD NOT** search the same data within the time stated in the `Cache-Control` header.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: general-guidance.html#client-best-practices-for-search
    l: general-guidance.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: general-guidance.html#CONF-0817
        l: general-guidance.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0849
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: [For the US Core Observation Screening Assessment Profile,] the Client system ... **SHALL** support [both] Reference(US Core Observation Screening Assessment Profile) [and] Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-observation-screening-assessment.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-observation-screening-assessment.html#CONF-0849
        l: StructureDefinition-us-core-observation-screening-assessment.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0853
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The certifying Client application **SHALL** support the [[US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html)] on [the [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html)] .
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-patient.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-patient.html#CONF-0853
        l: StructureDefinition-us-core-patient.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0854
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: The certifying Client application **SHALL** support the [[US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html)] on [the [US Core Encounter Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html)].
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-patient.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-patient.html#CONF-0854
        l: StructureDefinition-us-core-patient.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0869
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support.... Clients **SHALL** support both.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-simple-observation.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-simple-observation.html#CONF-0869
        l: StructureDefinition-us-core-simple-observation.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0882
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: When a Reference element is labeled as *Must Support* has multiple target profiles referenced, but none are labeled as *Must Support* ... - US Core Requesters **SHALL** be capable of processing [such an element] with a valid reference to *at least one* target profile.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: must-support.html#must-support---resource-references
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0882
        l: must-support.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0886
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: Servers can use the US Core Interpreter Needed Extension on this profile or the [US Core Patient Profile] to communicate whether a patient needs an interpreter…Client application **SHALL** support the extension on both profiles.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-encounter.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-encounter.html#CONF-0886
        l: StructureDefinition-us-core-encounter.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0888
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: SHALL
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support.... Clients **SHALL** support both.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-observation-screening-assessment.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-observation-screening-assessment.html#CONF-0888
        l: StructureDefinition-us-core-observation-screening-assessment.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0911
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance
    l: extension-Requirements.statement.conformance
  value: Code
    v: MAY
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement
    l: extension-Requirements.statement.requirement
  value: Markdown
    v: API consumers **MAY** query by category when accessing patient information.
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference
    l: extension-Requirements.statement.reference
  value: Url
    v: StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-servicerequest.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-servicerequest.html#CONF-0911
        l: StructureDefinition-us-core-servicerequest.html
url:
  v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement
  l: extension-Requirements.statement

system:
  v: urn:ietf:rfc:3986
  l: 3986
value:
  v: urn:oid:2.16.840.1.113883.4.642.40.2.36.2

coding:
  system:
    v: http://hl7.org/fhir/fhir-types
    l: fhir-types
  code:
    v: Requirements