This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Active as of 2020-11-03 |
{
"resourceType" : "CapabilityStatement",
"id" : "pdex-server",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2 id=\"title\">PDex Server CapabilityStatement Based on US Core </h2><ul><li>Implementation Guide Version: 3.1.1</li><li>FHIR Version: 4.0.1</li><li>Supported formats: xml, json</li><li>Published by: Payer Data Exchange, Da Vinci Accelerator via the HL7 Financial Management Workgroup.</li></ul><p>This describes the expected capabilities of the PDex Server actor which is responsible for providing responses to the queries submitted by the PDex Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by PDex Servers are defined.</p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
}
],
"url" : "http://hl7.org/fhir/us/davinci-pdex/CapabilityStatement/pdex-server",
"version" : "2.0.0",
"name" : "PdexServerCapabilityStatement",
"title" : "PDEX Server CapabilityStatement",
"status" : "active",
"experimental" : false,
"date" : "2020-11-03",
"publisher" : "HL7 International / Financial Management",
"contact" : [
{
"name" : "HL7 International / Financial Management",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
},
{
"system" : "email",
"value" : "fm@lists.HL7.org"
}
]
},
{
"name" : "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
"telecom" : [
{
"system" : "email",
"value" : "mailto:mark.scrimshire@onyxhealth.io"
}
]
},
{
"name" : "HL7 International - Financial Management",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description" : "This Section describes the expected capabilities of the PDex Server actor which is responsible for providing responses to the queries submitted by the PDex Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by PDex Servers are defined. PDex Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"kind" : "requirements",
"fhirVersion" : "4.0.1",
"format" : [
"json"
],
"patchFormat" : [
"application/json-patch+json"
],
"implementationGuide" : [
🔗 "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex|2.0.0"
],
"rest" : [
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"mode" : "server",
"documentation" : "The PDex Server **SHALL**: \n1. Support the US Core Patient resource profile.\n2. Support at least one additional resource profile from the list of US Core and PDex Profiles. \n3. Implement the RESTful behavior according to the FHIR specification.\n4. Support json source formats for all US Core and PDex interactions. \n5. Return the following response classes:\n - (Status 400): invalid parameter\n - (Status 401/4xx): unauthorized request\n - (Status 403): insufficient scope \n - (Status 404): unknown resource \n - (Status 410): deleted resource.\n\nThe PDex Server **SHOULD**: \n1. Support xml source formats for all US Core interactions.\n2. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.",
"security" : {
"description" : "1. See the [US Core Security Considerations](http://hl7.org/fhir/us/core/security.html) section for requirements and recommendations. 2. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` unauthorized response code."
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"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
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"type" : "AllergyIntolerance",
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🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
],
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"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient",
"type" : "reference"
}
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"valueString" : "patient"
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"url" : "required",
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🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan"
],
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"type" : "token"
}
]
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}
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🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-device"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device"
],
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"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-device-patient",
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}
],
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],
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🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab"
],
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"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-patient",
"type" : "reference"
},
{
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{
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"valueCode" : "MAY"
}
],
"name" : "category",
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"type" : "token"
},
{
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}
],
"name" : "code",
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"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
"name" : "date",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date",
"type" : "date"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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},
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"extension" : [
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "type"
},
{
"url" : "required",
"valueString" : "period"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "required",
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},
{
"url" : "required",
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}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
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"url" : "required",
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},
{
"url" : "required",
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}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "required",
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},
{
"url" : "required",
"valueString" : "status"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
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},
{
"url" : "required",
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],
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}
],
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🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
],
"documentation" : "The DocumentReference.type binding SHALL support at a minimum the [5 Common Clinical Notes](http://hl7.org/fhir/us/core/ValueSet-us-core-clinical-note-type.html) and may extend to the full US Core DocumentReference Type Value Set",
"interaction" : [
{
"extension" : [
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],
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],
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},
{
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],
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}
],
"code" : "history-instance"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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],
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}
],
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],
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],
"searchParam" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"name" : "_id",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id",
"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "status",
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"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
"name" : "patient",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-patient",
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},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "category",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category",
"type" : "token"
},
{
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}
],
"name" : "type",
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"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "date",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date",
"type" : "date"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "period",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period",
"type" : "date"
}
],
"operation" : [
{
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{
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"valueCode" : "SHALL"
}
],
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"definition" : "http://hl7.org/fhir/us/core/OperationDefinition/docref",
"documentation" : "A server **SHALL** be capable of responding to a $docref operation and capable of returning at least a reference to a generated CCD document, if available. **MAY** provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD** provide references to any document that falls within the date range If no date range is supplied, then the server **SHALL** provide references to last or current encounter. **SHOULD** document what resources, if any, are returned as included resources`GET [base]/DocumentReference/$docref?patient=[id]`"
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]
},
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"url" : "required",
"valueString" : "class"
},
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"url" : "required",
"valueString" : "patient"
}
],
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},
{
"extension" : [
{
"url" : "required",
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},
{
"url" : "required",
"valueString" : "status"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "type"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "required",
"valueString" : "date"
},
{
"url" : "required",
"valueString" : "patient"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
}
],
"type" : "Encounter",
"supportedProfile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
],
"interaction" : [
{
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{
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}
],
"code" : "search-type"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "vread"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
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}
],
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],
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}
],
"name" : "_id",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-id",
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"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-date",
"type" : "date"
},
{
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{
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],
"name" : "identifier",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-identifier",
"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"name" : "patient",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-encounter-patient",
"type" : "reference"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
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},
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}
],
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"type" : "token"
}
]
},
{
"extension" : [
{
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"valueCode" : "SHALL"
}
],
"type" : "ExplanationOfBenefit",
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],
"documentation" : "When a Prior Authorization references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate\" should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?[parameter=value]&_include=ExplanationOfBenefit:coverage&_include:iterate=Coverage:payor.",
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],
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}
],
"referencePolicy" : [
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],
"searchInclude" : [
"ExplanationOfBenefit:patient",
"ExplanationOfBenefit:provider",
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"ExplanationOfBenefit:coverage",
"ExplanationOfBenefit:insurer",
"ExplanationOfBenefit:*"
],
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},
{
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}
],
"name" : "patient",
"definition" : "http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-patient",
"type" : "reference"
},
{
"extension" : [
{
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"valueCode" : "SHALL"
}
],
"name" : "_lastUpdated",
"definition" : "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
"type" : "date"
},
{
"extension" : [
{
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],
"name" : "type",
"definition" : "http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-type",
"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
"name" : "identifier",
"definition" : "http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-identifier",
"type" : "token"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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}
],
"name" : "service-date",
"definition" : "http://hl7.org/fhir/us/davinci-pdex/SearchParameter/explanationofbenefit-service-date",
"type" : "date"
}
]
},
{
"extension" : [
{
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"valueCode" : "SHALL"
},
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{
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},
{
"url" : "required",
"valueString" : "lifecycle-status"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
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{
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"valueString" : "target-date"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
}
],
"type" : "Goal",
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],
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{
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}
],
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}
],
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},
{
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],
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},
{
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}
],
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}
],
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],
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],
"searchParam" : [
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"valueCode" : "MAY"
}
],
"name" : "lifecycle-status",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-lifecycle-status",
"type" : "token"
},
{
"extension" : [
{
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"valueCode" : "SHALL"
}
],
"name" : "patient",
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},
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}
],
"name" : "target-date",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-goal-target-date",
"type" : "date"
}
]
},
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{
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"valueCode" : "SHALL"
},
{
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{
"url" : "required",
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],
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},
{
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},
{
"url" : "required",
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}
],
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}
],
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],
"interaction" : [
{
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{
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],
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],
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}
],
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],
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{
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}
],
"name" : "patient",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-patient",
"type" : "reference"
},
{
"extension" : [
{
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],
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},
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}
]
},
{
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}
],
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],
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],
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},
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],
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],
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},
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IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.0.0 based on FHIR 4.0.1. Generated 2024-01-06
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