us-core-certifying-system
type: Basic
node role: treeRoot
id:
  v: us-core-certifying-system
text:
  status:
    v: extensions
  div:
    v: These requirements apply to the actor: US Core Certifying System 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-0011 •general-requirements.html#profile-support--interaction-support SHALL Certifying Systems SHALL implement all components in the USCDI [USCDI link] CONF-0012 •general-requirements.html#profile-support--interaction-support SHALL Certifying Systems SHALL implement all components in the ... the US Core CapabilityStatement [Definition] . CONF-0124 •scopes.html#smart-scopes SHALL Certifying systems SHALL support all US Core’s required scopes. CONF-0392 •StructureDefinition-us-core-immunization.html#profile-specific-implementation-guidance SHOULD NDC vaccine codes SHOULD be supported as an additional code [of CVX Vaccine Codes] CONF-0411 •StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance SHALL Although both MedicationRequest.reasonCode and MedicationRequest.reasonReference are marked as Additional USCDI Requirements [which are required for organizations participating in the ONC Health IT Certification program]. The certifying Server system is not required to support both, but SHALL support at least one of these elements CONF-0414 •StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance SHALL [For organizations participating in the ONC Health IT Certification program and supporting MedicationReque…
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-certifying-system
    l: us-core-certifying-system
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: USCoreCertifyingSystemRequirements
extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title
    l: extension-Requirements.title
  value: String
    v: US Core Certifying System 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: 2026-05-31T03:27:50+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 *additional requirements* for systems certifying for Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification (g(10) certification. These requirements represent the regulatory and technical specifications that design artifacts must meet to ensure interoperability. See the [US Core Server Requirements](Requirements-us-core-server.html) for the US Core Responder (Server) requirements defined in the US Core Implementation Guide narrative sections.
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 Certifying System
extension:
  extension:
    url:
      v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
      l: extension-Requirements.statement.key
    value: Id
      v: CONF-0011
  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: Certifying Systems **SHALL** implement all components in the USCDI [[USCDI link](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi)]
  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#profile-support--interaction-support
      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-0012
  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: Certifying Systems **SHALL** implement all components in the ... the US Core CapabilityStatement [[Definition](https://hl7.org/fhir/us/core/CapabilityStatement-us-core-Server.html)] .
  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#profile-support--interaction-support
      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-0124
  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-0011
l: general-requirements.html

Url
v: general-requirements.html#CONF-0012
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: Certifying systems **SHALL** support all US Core’s required scopes.

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-0124
      l: scopes.html

extension:
  url:
    v: http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key
    l: extension-Requirements.statement.key
  value: Id
    v: CONF-0392
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: [NDC vaccine codes](http://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp) **SHOULD** be supported as an additional code [of [CVX Vaccine Codes](https://www2a.cdc.gov/vaccines/iis/iisstandards/ndc_crosswalk.asp)]
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-immunization.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-immunization.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-immunization.html#CONF-0392
        l: StructureDefinition-us-core-immunization.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-0411
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: Although both MedicationRequest.reasonCode and MedicationRequest.reasonReference are marked as Additional USCDI Requirements [which are required for organizations participating in the ONC Health IT Certification program]. The certifying Server system is not required to support both, but **SHALL** support at least one of these elements
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-0411
        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-0414
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 and supporting MedicationRequest.reasonReference,] Servers **SHALL** support at least one target resource 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-0414
        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-0444
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: Although none of the Observation.derivedFrom [references are flagged as Must Support](https://hl7.org/fhir/us/core/STU8/must-support.html#must-support---resource-references), the Certifying System *SHALL** support at least one of them
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-0444
        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-0465
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: Although Patient.deceased[x] is marked as additional USCDI, certifying systems are not required to support both [boolean and dateTime data types], but **SHALL** support [at] least Patient.deceasedDateTime
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-0465
        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-0469
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: [Certifying systems](https://www.healthit.gov/topic/certification-ehrs/about-onc-health-it-certification-program) [, those that are participating in the ONC Health IT certification program,] **SHALL**... follow the [Project US@ Technical Specification for Patient Addresses Final Version 1.0](https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf) as the standard style guide for Patient.address.line and Patient.address.city for new and updated records.
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-0469
        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-0482
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] Servers … **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-0482
        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-0484
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,] although both Procedure.reasonCode and Procedure.reasonReference are marked as Additional USCDI Requirements, the certifying Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0484
        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-0516
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] Servers … **SHALL** support ... US Core Service Request 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-0516
        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-0518
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,] although both ServiceRequest.reasonCode and ServiceRequest.reasonReference are marked as Additional USCDI Requirements, the certifying Server system is not required to support both, but **SHALL** support at least one of these elements.
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-0518
        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-0520
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 Servers **SHALL** support at least one target resource 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-0520
        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-0522
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: [For organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference …The referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-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-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-0522
        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-0801
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 an element is marked as *Additional USCDI* and defined by a pattern [as described by [ElementDefinition.pattern](http://hl7.org/fhir/R4/elementdefinition-definitions.html#ElementDefinition.pattern_x_)], then the pattern defines the elements *and* element values that the Certifying System **SHALL** be capable of providing.
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#defined-pattern-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-0801
        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-0802
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: Primitive elements are single elements with a primitive value…. If they are marked as *Additional USCDI*, then the Certifying System **SHALL** be capable of providing the element value to meet the *Additional USCDI* requirement.
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-0802
        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-0803
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 any complex element marked as *Additional USCDI*, the Certifying System **SHALL** be capable of providing at least one of the sub-element values.
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-0803
        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-0805
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: [I]f any sub-element is marked as *Additional USCDI* [for a complex element] and the parent element is not… [and] the parent element is present in an instance, Certifying System **SHALL** support the sub-elements labeled as *Additional USCDI*.
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-0805
        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-0809
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 Additional USCDI and has a single target profile referenced, the target profile **SHALL** be supported for Certifying Systems.
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-targets-for-us-core-profiles
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0809
        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-0811
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 labeled as Additional USCDI, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) **SHALL** be supported by Certifying Systems.
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-targets-for-us-core-profiles
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0811
        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-0812
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: [I]f a slice is labeled as ... Must Support/Additional USCDI and the slicer element is not labeled as ... Additional USCDI, then if the ... certifying system supports the element, it must support the slice's definition. There are no examples of this structure in 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---slices
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0812
        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-0814
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: [I]f a slice is labeled as … Must Support and the slicer element is ... labeled as … Must Support/Additional USCDI, then … certifying system [**SHALL** support] the element[ and] the slice's definition.
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---slices
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0814
        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-0834
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: Certifying Systems ... **SHOULD** support the ... [US Core Simple Observation Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.html) codes
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-condition-problems-health-concerns.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-condition-problems-health-concerns.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0834
        l: StructureDefinition-us-core-condition-problems-health-concerns.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-0846
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,] Certifying Systems **SHALL** support, the [US Core Screening Assessment Observation Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html) codes
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-0846
        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-0847
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: [For the US Core Observation Screening Assessment Profile,] Certifying Systems **SHOULD** support, the [US Core Screening Assessment Observation Maximum Category](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-maximum-category.html) codes
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-0847
        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-0848
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: [For the US Core Observation Screening Assessment Profile,] Certifying Systems **MAY** support other codes.
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-0848
        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-0852
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: Although the [[US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html)] is marked as an Additional USCDI Requirement on both US Core Patient and US Core Encounter Profiles, the certifying Server system is not required to support the extension on both profiles but **SHALL** support the extension on at least one.
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-0852
        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-0861
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: [For [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems ... **SHOULD** support the other [US Core Simple Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.html) [in addition to the [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.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-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-0861
        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-0862
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 [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems **SHALL** support, the [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.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-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-0862
        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-0863
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: [For [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html), ]Certifying Systems ... **MAY** support other categories [in addition to [US Core Screening Assessment Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-screening-assessment-observation-category.html) and [US Core Simple Observation Category codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-simple-observation-category.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-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-0863
        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-0872
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: [I]f a slice is labeled as Additional USCDI... and the slicer element is ... labeled as Must Support/Additional USCDI..., then ... the Certifying System... [**SHALL** support] the element[ and] the slice's definition.
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---slices
    l: must-support.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: must-support.html#CONF-0872
        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-0883
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 *Additional USCDI* has multiple target profiles referenced, but none are labeled as *Must Support*, *at least one* target profile **SHALL** be supported by Certifying Systems.
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-0883
        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-0884
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 an *Additional USCDI* element has a choice of datatypes for its content, the datatypes the Certifying System **SHALL** support are labeled as *Must Support*.
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-0884
        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-0902
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: Healthcare Service Location Codes (HSLOC) and SNOMED-CT Healthcare Facility Type value sets meet the USCDI applicable vocabulary standard for the Encounter Location Data Element. Certifying Systems **MAY** use a code from either vocabulary.
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-location.html#profile-specific-implementation-guidance
    l: StructureDefinition-us-core-location.html
    l: extension
    l:
      url:
        v: http://hl7.org/fhir/StructureDefinition/narrativeLink
        l: narrativeLink
      value: Url
        v: StructureDefinition-us-core-location.html#CONF-0902
        l: StructureDefinition-us-core-location.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-0910
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 **SHALL** use 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)] or the [US Core Encounter Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html) to communicate whether a patient needs an interpreter.
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-0910
        l: 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-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-0910
        l: StructureDefinition-us-core-encounter.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:2.16.840.1.113883.4.642.40.2.36.1

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