Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0-ballot - ballot
Electronic Long-Term Services and Supports (eLTSS) Release 1 - US Realm
2.0.0-ballot - ballot
This page is part of the electronic Long-Term Services and Supports Implementation Guide (v2.0.0-ballot: STU2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 2 |
<CapabilityStatement xmlns="http://hl7.org/fhir">
<id value="eltss-server"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h2 id="title">eLTSS Server Capability Statement</h2><ul><li>Implementation Guide Version: 2.0.0-ballot</li><li>FHIR Version: 4.0.1</li><li>Supported Formats: <strong>SHALL</strong> support <code>json</code>, <strong>SHOULD</strong> support <code>xml</code></li><li>Supported Patch Formats: <strong>SHOULD</strong> support <code>application/json-patch+json</code></li><li>Published on: Mon Nov 20 08:35:01 UTC 2023</li><li>Published by: HL7 International / Human and Social Services</li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as "SHALL NOT". A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h3 id="shallIGs">SHALL Support the Following Implementation Guides</h3><ul><li/></ul><h3 id="shouldIGs">SHOULD Support the Following Implementation Guides</h3><ul><li><a href="https://build.fhir.org/ig/HL7/smart-app-launch//ImplementationGuide-hl7.fhir.uv.smart-app-launch.html">http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch</a></li><li><a href="http://hl7.org/fhir/us/core/STU3.1.1/ImplementationGuide-hl7.fhir.us.core.html">http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core</a></li></ul><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"><div><p>The eLTSS/ US CORE Server <strong>SHALL</strong>:</p>
<ol>
<li>Support the eLTSS/ US CORE Patient resource profile.</li>
<li>Support at least one additional resource profile from the list of eLTSS/ US CORE Profiles.</li>
<li>Implement the RESTful behavior according to the FHIR specification.</li>
<li>Return the following response classes:
<ul>
<li>(Status 400): invalid parameter</li>
<li>(Status 401/4xx): unauthorized request</li>
<li>(Status 403): insufficient scope</li>
<li>(Status 404): unknown resource</li>
<li>(Status 410): deleted resource.</li>
</ul>
</li>
<li>Support json source formats for all US Core interactions.</li>
</ol>
<p>The eLTSS/ US CORE Server <strong>SHOULD</strong>:</p>
<ol>
<li>Follow US CORE guidance on Must Support</li>
<li>Support xml source formats for all eLTSS/ US CORE interactions.</li>
<li>Identify the US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li>
<li>Support xml resource formats for all Argonaut questionnaire interactions.</li>
</ol>
</div><div class="lead"><em>Security</em></div><blockquote><div><ol>
<li>See the <a href="http://hl7.org/fhir/us/core/STU3.1.1/security.html">General Security Considerations</a> section for requirements and recommendations.</li>
<li>A server <strong>SHALL</strong> reject any unauthorized requests by returning an <code>HTTP 401</code> unauthorized response code.</li>
</ol>
</div></blockquote><div class="lead"><em>Summary of System-wide Interactions</em></div><ul><li><strong>MAY</strong> support the <code>transaction</code> interaction.</li><li><strong>MAY</strong> support the <code>batch</code> interaction.</li><li><strong>MAY</strong> support the <code>search-system</code> interaction.</li><li><strong>MAY</strong> support the <code>history-system</code> interaction.</li></ul></div></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET past versions of resources (vread interaction)">V-R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="PATCH a new resource version (patch interaction)">P</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th class="text-center"><b title="DELETE a resource (delete interaction)">D</b></th><th class="text-center"><b title="GET changes to a resource (history interaction on instance)">H-I</b></th><th class="text-center"><b title="GET changes for all resources of the type (history interaction on type)">H-T</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#AllergyIntolerance1-1">AllergyIntolerance</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-allergyintolerance.html">US Core AllergyIntolerance Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>clinical-status, patient, patient+clinical-status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#CarePlan1-2">CarePlan</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-CarePlan-eltss.html">CarePlan_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>category, date, patient, status, patient+category+status+date, patient+category+date, patient+category, patient+category+status</td><td/><td><code>Provenance:target</code></td><td><code>$all-eltss-careplan</code></td></tr><tr><td><a href="#CareTeam1-3">CareTeam</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-careteam.html">US Core CareTeam Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient, status, patient+role, patient+status</td><td><code>CareTeam:participant:PractitionerRole</code>, <code>CareTeam:participant:Practitioner</code>, <code>CareTeam:participant:Patient</code>, <code>CareTeam:participant:RelatedPerson</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Condition1-4">Condition</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Condition-eltss.html">Condition_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>category, clinical-status, code, onset-date, patient, patient+onset-date, patient+category+encounter, patient+abatement-date, patient+category+clinical-status, patient+recorded-date, patient+clinical-status, patient+code, patient+asserted-date, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Coverage1-5">Coverage</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Device1-6">Device</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-implantable-device.html">US Core Implantable Device Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient, type, patient+status, patient+type</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#DiagnosticReport1-7">DiagnosticReport</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-note.html">US Core DiagnosticReport Profile for Report and Note exchange</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-lab.html">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>category, code, date, patient, status, patient+status, patient+code+date, patient+code, patient+category+date, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#DocumentReference1-8">DocumentReference</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-documentreference.html">US Core DocumentReference Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>_id, category, date, patient, period, status, type, patient+status, patient+type, patient+type+period, patient+category+date, patient+category</td><td/><td><code>Provenance:target</code></td><td><code>$docref</code></td></tr><tr><td><a href="#Encounter1-9">Encounter</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>_id, class, date, identifier, patient, status, type, patient+status, patient+type, patient+discharge-disposition, date+patient, patient+location, class+patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Endpoint1-10">Endpoint</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#Goal1-11">Goal</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Goal-eltss.html">Goal_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>lifecycle-status, patient, target-date, patient+lifecycle-status, patient+target-date, patient+description</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#HealthcareService1-12">HealthcareService</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#Immunization1-13">Immunization</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-immunization.html">US Core Immunization Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>date, patient, status, patient+date, patient+status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Location1-14">Location</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Location-eltss.html">Location_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>address, address-city, address-postalcode, address-state, name</td><td/><td/><td/></tr><tr><td><a href="#Media1-15">Media</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#Medication1-16">Medication</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-medication.html">US Core Medication Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#MedicationDispense1-17">MedicationDispense</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient+status, patient+status+type</td><td><code>MedicationDispense:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#MedicationRequest1-18">MedicationRequest</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-medicationrequest.html">US Core MedicationRequest Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>authoredon, encounter, intent, patient, status, patient+intent+status, patient+intent+encounter, patient+intent, patient+intent+authoredon</td><td><code>MedicationRequest:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Observation1-19">Observation</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Observation-eltss.html">Observation_eltss</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-smokingstatus.html">US Core Smoking Status Observation Profile</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-pediatric-weight-for-height.html">US Core Pediatric Weight for Height Observation Profile</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-pediatric-bmi-for-age.html">US Core Pediatric BMI for Age Observation Profile</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-pulse-oximetry.html">US Core Pulse Oximetry Profile</a><br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-head-occipital-frontal-circumference-percentile.html">US Core Pediatric Head Occipital-frontal Circumference Percentile Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>category, code, date, patient, status, patient+category+status, patient+code+date, patient+code, patient+category+date, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Organization1-20">Organization</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-organization.html">US Core Organization Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>address, name</td><td/><td/><td/></tr><tr><td><a href="#Patient1-21">Patient</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Patient-eltss.html">Patient_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>_id, birthdate, family, gender, given, identifier, name, family+gender, death-date+family, birthdate+family, gender+name, birthdate+name</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Practitioner1-22">Practitioner</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Practitioner-eltss.html">Practitioner_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>identifier, name</td><td/><td/><td/></tr><tr><td><a href="#PractitionerRole1-23">PractitionerRole</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-PractitionerRole-eltss.html">eLTSS PractitionerRole Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>practitioner, specialty</td><td><code>PractitionerRole:endpoint</code>, <code>PractitionerRole:practitioner</code></td><td/><td/></tr><tr><td><a href="#Procedure1-24">Procedure</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-procedure.html">US Core Procedure Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>code, date, patient, status, patient+date, patient+status, patient+code+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Provenance1-25">Provenance</a></td><td>Supported profiles:<br/> <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-provenance.html">US Core Provenance Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#Questionnaire1-26">Questionnaire</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-Questionnaire-eltss.html">Questionnaire_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#QuestionnaireResponse1-27">QuestionnaireResponse</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-QuestionnaireResponse-eltss.html">US Core QuestionnaireResponse Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient+authored, patient+status, patient+questionnaire</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#RelatedPerson1-28">RelatedPerson</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-RelatedPerson-eltss.html">eLTSS RelatedPerson Profile</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient+name</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#ServiceRequest1-29">ServiceRequest</a></td><td>Supported profiles:<br/> <a href="StructureDefinition-ServiceRequest-eltss.html">ServiceRequest_eltss</a></td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td>patient+category+authored, patient+status, patient+code, patient+category, patient+code+authored</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Specimen1-30">Specimen</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td class="text-center">y</td><td></td><td/><td/><td/></tr><tr><td><a href="#ValueSet1-31">ValueSet</a></td><td> </td><td></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td class="text-center"></td><td></td><td/><td/><td><code>$expand</code></td></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="AllergyIntolerance1-1" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>AllergyIntolerance</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/allergyintolerance.html">AllergyIntolerance</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-allergyintolerance.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-allergyintolerance-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-allergyintolerance-clinical-status.html">clinical-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-allergyintolerance-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-allergyintolerance-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="CarePlan1-2" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>CarePlan</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/careplan.html">CarePlan</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-CarePlan-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/CarePlan-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Additional considerations for systems aligning with <a href="http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492">HL7 Consolidated (C-CDA)</a> Care Plan requirements:
<ul>
<li>US Core Goal <strong>SHOULD</strong> be present in CarePlan.goal</li>
<li>US Core Condition <strong>SHOULD</strong> be present in CarePlan.addresses</li>
<li>Assement and Plan <strong>MAY</strong> be included as narrative text</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-status.html">status</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careplan-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr></tbody></table></div></div><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-all-eltss-careplan.html">$all-eltss-careplan</a></td><td><div><p>A server <strong>MAY</strong> be capable of responding to a $all-eltss-careplan operation and capable of returning a bundle that provides all eLTSS data for a given Patient’s identified CarePlan. Given a CarePlan with a specific Patient and ID, this operation will return all the referenced artifacts necessary to satisfy the eLTSS data element set found in the DAM. The Operation reduces the number of queries that a client must make.</p>
<p>GET [base]/CarePlan/[id]/$all-eltss-careplan</p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="CareTeam1-3" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>CareTeam</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/careteam.html">CareTeam</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-careteam.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>In order to access care team member's names, identifiers, locations, and contact information, the CareTeam profile supports several types of care team participants. They are represented as references to other profiles and include the following four profiles which are marked as must support:</p>
<ol>
<li>US Core Practitioner Profile</li>
<li>US Core PractitionerRole Profile</li>
<li>US Core Patient Profile</li>
<li>US Core RelatedPerson Profile</li>
</ol>
<ul>
<li>Although <em>both</em> US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references, but <strong>SHALL</strong> support <em>at least</em> one of them.</li>
<li>The client application <strong>SHALL</strong> support all four profile references.</li>
<li>Bacause the <em>US Core PractitionerRole Profile</em> supplies the provider's location and contact information and a reference to the Practitioner, server systems <strong>SHOULD</strong> reference it instead of the <em>US Core Practitioner Profile</em>.</li>
<li>Servers that supports only <em>US Core Practitioner Profile</em> <strong>SHALL</strong> provide implementation specific guidance how to access a provider's location and contact information using only the Practitioner resource.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careteam-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careteam-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careteam-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careteam-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-careteam-patient.html">patient</a>+role</td><td><code>reference</code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Condition1-4" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Condition</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/condition.html">Condition</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Condition-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Condition-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>For Encounter Diagnosis use the <em>US Core Condition Encounter Diagnosis Profile</em>.
<ul>
<li>When <code>Condition.category</code> is "encounter-diagnosis" the encounter, <strong>SHOULD</strong> be referenced in <code>Condition.encounter</code>.</li>
</ul>
</li>
<li>For Problems and Health Concerns use the <em>US Core Condition Problems and Health Concerns Profile</em>.
<ul>
<li>When <code>Condition.category</code> is a "problems-list-item", the `Condition.clinicalStatus <strong>SHOULD NOT</strong> be unknown.</li>
</ul>
</li>
<li>There is no single element in Condition that represents the date of diagnosis. It may be the assertedDate Extension, <code>Condition.onsetDateTime</code>, or <code>Condition.recordedDate</code>.
<ul>
<li>Although all three are marked as must support, the server is not required to support all.</li>
<li>A server <strong>SHALL</strong> support <code>Condition.recordedDate</code>.</li>
<li>A server <strong>SHALL</strong> support at least one of the assertedDate Extension and <code>Condition.onsetDateTime</code>. A server may support both, which means they support all three elements.</li>
<li>The client application <strong>SHALL</strong> support all three elements.</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-onset-date.html">onset-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-onset-date.html">onset-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-category.html">category</a>+encounter</td><td><code>reference</code>+<code>token</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+abatement-date</td><td><code>reference</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+recorded-date</td><td><code>reference</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-clinical-status.html">clinical-status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-code.html">code</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-condition-patient.html">patient</a>+asserted-date</td><td><code>reference</code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Coverage1-5" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Coverage</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Device1-6" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Device</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/device.html">Device</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-implantable-device.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-implantable-device</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>Implantable medical devices that have UDI information <strong>SHALL</strong> represent the UDI code in <code>Device.udiCarrier.carrierHRF</code>.</p>
<ul>
<li>All of the five UDI-PI elements that are present in the UDI code <strong>SHALL</strong> be represented in the corresponding US Core Implantable Device Profile element.</li>
</ul>
<p>UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they <strong>SHOULD</strong> be included to support historical reports of implantable medical devices as follows:</p>
<p>manufacturer -> <code>Device.manufacturer</code><br/>
model -> <code>Device.model</code></p>
</li>
<li>
<p>Servers <strong>SHOULD</strong> support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-device-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-device-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-device-patient.html">patient</a>+status</td><td><code>reference</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-device-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-device-type.html">type</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DiagnosticReport1-7" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>DiagnosticReport</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-note.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-diagnosticreport-lab.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-code.html">code</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-code.html">code</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-diagnosticreport-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DocumentReference1-8" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>DocumentReference</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/documentreference.html">DocumentReference</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>create</code>, <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-documentreference.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The <code>DocumentReference.type</code> binding <strong>SHALL</strong> support at a minimum the <a href="http://hl7.org/fhir/us/core/ValueSet-us-core-clinical-note-type.html">5 Common Clinical Notes</a> and may extend to the full US Core DocumentReference Type Value Set</li>
<li>The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using <code>DocumentReference.attachment.url</code> or the content as inline base64 encoded data using <code>DocumentReference.attachment.data</code>.
<ul>
<li>Although both are marked as must support, the server system is not required to support an address, and inline base64 encoded data, but <strong>SHALL</strong> support at least one of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
<li>The <code>content.url</code> may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.
<ul>
<li>If the endpoint is outside the FHIR base URL, it <strong>SHOULD NOT</strong> require additional authorization to access.</li>
</ul>
</li>
<li>If there are multiple <code>DocumentReference.content</code> element repetitions, these <strong>SHALL</strong> all represent the same document in different format or attachment metadata. The content element <strong>SHALL</strong> not contain different versions of the same content. For version handling use multiple DocumentReferences with <code>DocumentReference.relatesTo</code></li>
</ul>
</li>
<li>Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference <strong>SHALL</strong> be present either in <code>DocumentReference.custodian</code> or accessible in the Provenance resource targeting the DocumentReference using <code>Provenance.agent.who</code> or <code>Provenance.agent.onBehalfOf</code>.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-id.html">_id</a></td><td><code>token</code></td><td><div></div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-period.html">period</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-type.html">type</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-type.html">type</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-documentreference-period.html">period</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/OperationDefinition-docref.html">$docref</a></td><td><div><p>A server <strong>SHALL</strong> be capable of responding to a $docref operation and capable of returning at least a reference to a generated CCD document, if available. <strong>MAY</strong> provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD** provide references to any document that falls within the date range If no date range is supplied, then the server <strong>SHALL</strong> provide references to last or current encounter. <strong>SHOULD</strong> document what resources, if any, are returned as included resources</p>
<p><code>GET [base]/DocumentReference/$docref?patient=[id]</code></p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Encounter1-9" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Encounter</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>The Encounter resource can represent a reason using either a code with <code>Encounter.reasonCode</code>, or a reference with <code>Encounter.reasonReference</code> to Condition or other resource.</p>
<ul>
<li>Although both are marked as must support, the server systems are not required to support both a code and a reference, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
<li>if <code>Encounter.reasonReference</code> references an Observation, it <strong>SHOULD</strong> conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)</li>
</ul>
</li>
<li>
<p>The location address can be represented by either by the Location referenced by <code>Encounter.location.location</code> or indirectly through the Organization referenced by <code>Encounter.serviceProvider</code>.</p>
<ul>
<li>Although both are marked as must support, the server systems are not required to support both <code>Encounter.location.location</code> and <code>Encounter.serviceProvider</code>, but they <strong>SHALL</strong> support <em>at least one</em> of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-id.html">_id</a></td><td><code>token</code></td><td><div></div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-class.html">class</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-type.html">type</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-date.html">date</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>date</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-type.html">type</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a>+discharge-disposition</td><td><code>reference</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a>+location</td><td><code>reference</code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-class.html">class</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-encounter-patient.html">patient</a></td><td><code>token</code>+<code>reference</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Endpoint1-10" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Endpoint</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/endpoint.html">Endpoint</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The Media Resource is a Must Suppot referenced resource when using the US Core PracitionerRole Profile.</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Goal1-11" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Goal</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/goal.html">Goal</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Goal-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Goal-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Although both <code>Goal.startDate</code> and <code>Goal.target.dueDate</code> are marked as must support, the server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements. The client application <strong>SHALL</strong> support both elements.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-lifecycle-status.html">lifecycle-status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-target-date.html">target-date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p>
<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-lifecycle-status.html">lifecycle-status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-target-date.html">target-date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-goal-patient.html">patient</a>+description</td><td><code>reference</code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="HealthcareService1-12" class="panel-title"><span style="float: right;">Resource Conformance: MAY</span>HealthcareService</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/healthcareservice.html">HealthcareService</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The HealthcareService Resource is a referenced resource when using the US Core PracitionRole Profile and subject to constraint us-core-13: "SHALL have a practitioner, an organization, a healthcare service, or a location."</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Immunization1-13" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Immunization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/immunization.html">Immunization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-immunization.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes <strong>SHOULD</strong> be supported as translations to them.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-date.html">date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-immunization-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Location1-14" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Location</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/location.html">Location</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Location-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-location-address.html">address</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-location-name.html">name</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-location-address-city.html">address-city</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-location-address-postalcode.html">address-postalcode</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-location-address-state.html">address-state</a></td><td><code>string</code></td><td><div></div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Media1-15" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Media</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/media.html">Media</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The Media Resource is a Must Suppot referenced resource when using the US Core DiagnosticReport Profile for Report and Note Exchange.</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Medication1-16" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Medication</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medication.html">Medication</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-medication.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ <strong>SHALL</strong> be supported.</li>
</ul>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationDispense1-17" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>MedicationDispense</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medicationdispense.html">MedicationDispense</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include` parameter for searching this element. The client application must support all methods.</li>
</ul>
<p>For example, A server <strong>SHALL</strong> be capable of returning dispense records for all medications for a patient using one of or both:</p>
<p><code>GET /MedicationDispense?patient=[id]</code></p>
<p><code>GET /MedicationDispense?patient=[id]&_include=MedicationDispense:medication</code></p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody/></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td>patient+status</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td>patient+status+type</td><td><code><unknown></code>+<code><unknown></code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationRequest1-18" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>MedicationRequest</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-medicationrequest.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the _include` parameter for searching this element. The client application must support all methods.</li>
</ul>
<p>For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both:</p>
<p><code>GET /MedicationRequest?patient=[id]</code></p>
<p><code>GET /MedicationRequest?patient=[id]&_include=MedicationRequest:medication</code></p>
<ul>
<li>The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in <code>MedicationRequest.reportedBoolean</code>, or a reference using <code>MedicationRequest.reportedReference</code> to Practitioner or other resource.
<ul>
<li>Although both are marked as must support, the server systems are not required to support both a boolean and a reference, but <strong>SHALL</strong> choose to support at least one of these elements.</li>
<li>The client application <strong>SHALL</strong> support both elements.</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-authoredon.html">authoredon</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-encounter.html">encounter</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-intent.html">intent</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-intent.html">intent</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-encounter.html">encounter</a></td><td><code>reference</code>+<code>token</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-intent.html">intent</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-medicationrequest-authoredon.html">authoredon</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Observation1-19" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Observation</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/observation.html">Observation</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Observation-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Observation-eltss</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-smokingstatus.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-pediatric-weight-for-height.html">http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-pediatric-bmi-for-age.html">http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-pulse-oximetry.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry</a><br/><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-head-occipital-frontal-circumference-percentile.html">http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Systems <strong>SHOULD</strong> support <code>Observation.effectivePeriod</code> to accurately represent tests that are collected over a period of time (for example, a 24-Hour Urine Collection test).</li>
<li>An Observation without a value, <strong>SHALL</strong> include a reason why the data is absent unless there are component observations, or references to other Observations that are grouped within it
<ul>
<li>Systems that never provide an observation without a value are not required to support <code>Observation.dataAbsentReason</code></li>
</ul>
</li>
<li>An <code>Observation.component</code> without a value, <strong>SHALL</strong> include a reason why the data is absent.
<ul>
<li>Systems that never provide an component observation without a component value are not required to support <code>Observation.component.dataAbsentReason</code>.</li>
</ul>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-category.html">category</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-code.html">code</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-category.html">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-category.html">category</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-status.html">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-code.html">code</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-observation-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Organization1-20" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Organization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/organization.html">Organization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-organization.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Systems <strong>SHALL</strong> support National Provider Identifier (NPI) for organizations and <strong>SHOULD</strong> support Clinical Laboratory Improvement Amendments (CLIA) identifiers for <code>Organization.Identifier</code>.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-organization-address.html">address</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-organization-name.html">name</a></td><td><code>string</code></td><td><div></div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-21" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Patient</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/patient.html">Patient</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Patient-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>For ONC's USCDI requirements, each Patient must support the following additional elements. These elements are included in the formal definition of the profile. The patient examples include all of these elements.</p>
<ol>
<li>contact detail (e.g. a telephone number or an email address)</li>
<li>a communication language</li>
<li>a race</li>
<li>an ethnicity</li>
<li>a birth sex*</li>
<li>previous name
<ul>
<li>Previous name is represented by providing an end date in the <code>Patient.name.period</code> element for a previous name.</li>
</ul>
</li>
<li>suffix
<ul>
<li>Suffix is represented using the <code>Patient.name.suffix</code> element.</li>
</ul>
</li>
</ol>
</li>
<li>
<p>The Patient's Social Security Numbers <strong>SHOULD NOT</strong> be used as a patient identifier in <code>Patient.identifier.value</code>.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-id.html">_id</a></td><td><code>token</code></td><td><div></div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-name.html">name</a></td><td><code>string</code></td><td><div></div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-birthdate.html">birthdate</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>day</em>.</p>
<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-family.html">family</a></td><td><code>string</code></td><td><div><p>A server <strong>SHALL</strong> support a value precise to the <em>day</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-gender.html">gender</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-given.html">given</a></td><td><code>string</code></td><td><div></div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-gender.html">gender</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-name.html">name</a></td><td><code>token</code>+<code>string</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-birthdate.html">birthdate</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-name.html">name</a></td><td><code>date</code>+<code>string</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-family.html">family</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-gender.html">gender</a></td><td><code>string</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td>death-date+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-family.html">family</a></td><td><code><unknown></code>+<code>string</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-birthdate.html">birthdate</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-patient-family.html">family</a></td><td><code>date</code>+<code>string</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Practitioner1-22" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Practitioner</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/practitioner.html">Practitioner</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Practitioner-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Servers that support only US Core Practitioner Profile <strong>SHALL</strong> provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-practitioner-identifier.html">identifier</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-practitioner-name.html">name</a></td><td><code>string</code></td><td><div></div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="PractitionerRole1-23" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>PractitionerRole</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-PractitionerRole-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>Due to implementer feedback, some US Core Profiles reference the PractitionerRole resource instead of the US Core PractitionerRole Profile. However the US Core PractitionerRole Profile <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-practitionerrole-practitioner.html">practitioner</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-practitionerrole-specialty.html">specialty</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Procedure1-24" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Procedure</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-procedure.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.</p>
<ul>
<li>Only LOINC concepts that reflect actual procedures <strong>SHOULD</strong> be used</li>
</ul>
</li>
<li>
<p>A procedure including an implantable device <strong>SHOULD</strong> use <code>Procedure.focalDevice</code> with a reference to the <em>US Core Implantable Device Profile</em>.</p>
</li>
<li>
<p>The Reason or justification for a referral or consultation is communicated through:</p>
<ol>
<li><code>ServiceRequest.reason</code> or <code>ServiceRequest.reason</code>, and <code>Procedure.basedOn</code> that links the Procedure to the US Core ServiceRequest Profile.
<ul>
<li><code>ServiceRequest.reasonCode</code> and <code>ServiceRequest.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements.</li>
<li>As documented <a href="http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles">here</a>, when using <code>ServiceRequest.reasonReference</code>, the referenced resources <strong>SHOULD</strong> be a US Core Profile.</li>
</ul>
</li>
<li><code>Procedure.reasonCode</code> or <code>Procedure.reasonReference</code> when the Procedure does not have an associated ServiceRequest.
<ul>
<li>Although both <code>Procedure.reasonCode</code> and <code>Procedure.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements.</li>
<li>As documented <a href="http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles">here</a>, when using <code>Procedure.reasonReference</code>, the referenced resources <strong>SHOULD</strong> be a US Core Profile.</li>
</ul>
</li>
</ol>
<p>Certifying Servers and Clients <strong>SHALL</strong> support options 1 and 2 as Additional USCDI Requirements.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-patient.html">patient</a></td><td><code>reference</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a id value and <strong>MAY</strong> provide both the Type and id values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-code.html">code</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>date</code></td><td><div><p>A client <strong>SHALL</strong> provide a value precise to the <em>second + time offset</em>.</p>
<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-status.html">status</a></td><td><code>token</code></td><td><div><p>The client <strong>SHALL</strong> provide at least a code value and <strong>MAY</strong> provide both the system and code values.</p>
<p>The server <strong>SHALL</strong> support both.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>reference</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-status.html">status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-patient.html">patient</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-code.html">code</a>+<a href="http://hl7.org/fhir/us/core/STU3.1.1/SearchParameter-us-core-procedure-date.html">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Provenance1-25" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Provenance</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/provenance.html">Provenance</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-provenance.html">http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>The US Core Provenance resource <strong>SHALL</strong> be supported for these US Core resources:
<ul>
<li>AllergyIntolerance</li>
<li>CarePlan</li>
<li>CareTeam</li>
<li>Condition</li>
<li>Coverage</li>
<li>Device</li>
<li>DiagnosticReport</li>
<li>DocumentReference</li>
<li>Encounter</li>
<li>Goal</li>
<li>Immunization</li>
<li>MedicationDispense</li>
<li>MedicationRequest</li>
<li>Observation</li>
<li>Patient</li>
<li>Procedure</li>
<li>QuestionnaireResponse</li>
<li>RelatedPerson</li>
<li>ServiceRequest</li>
</ul>
</li>
<li>If a system receives a provider in <code>Provenance.agent.who</code> as free text they must capture who sent them the information as the organization. On request they <strong>SHALL</strong> provide this organization as the source and <strong>MAY</strong> include the free text provider.</li>
<li>Systems that need to know the activity has occurred <strong>SHOULD</strong> populate the activity.</li>
</ul>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Questionnaire1-26" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD</span>Questionnaire</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/questionnaire.html">Questionnaire</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-Questionnaire-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>US Core defines two ways to represent the questions and responses to screening and assessment instruments:</p>
<ul>
<li>Observation: US Core Observation Screening Assessment Profile</li>
<li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li>
</ul>
<p>US Core Servers <strong>SHALL</strong> support US Core Observation Screening Assessment Profile and <strong>SHOULD</strong> support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile</p>
</div></blockquote></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="QuestionnaireResponse1-27" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD</span>QuestionnaireResponse</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/questionnaireresponse.html">QuestionnaireResponse</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code>, <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-QuestionnaireResponse-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/QuestionnaireResponse-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>US Core defines two ways to represent the questions and responses to screening and assessment instruments:</p>
<ul>
<li>Observation: US Core Observation Screening Assessment Profile</li>
<li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li>
</ul>
<p>US Core Servers <strong>SHALL</strong> support US Core Observation Screening Assessment Profile and <strong>SHOULD</strong> support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody/></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td>patient+authored</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td>patient+status</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td>patient+questionnaire</td><td><code><unknown></code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="RelatedPerson1-28" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>RelatedPerson</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/relatedperson.html">RelatedPerson</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-RelatedPerson-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/RelatedPerson-eltss</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody/></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td>patient+name</td><td><code><unknown></code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ServiceRequest1-29" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>ServiceRequest</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/servicerequest.html">ServiceRequest</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-ServiceRequest-eltss.html">http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss</a></p></div></div><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><ul>
<li>
<p>The Reason or justification for a referral or consultation is communicated through:</p>
<ol>
<li><code>ServiceRequest.reason</code> or <code>ServiceRequest.reason</code>, and <code>Procedure.basedOn</code> that links the Procedure to the US Core ServiceRequest Profile.
<ul>
<li><code>ServiceRequest.reasonCode</code> and <code>ServiceRequest.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements.</li>
<li>As documented <a href="http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles">here</a>, when using <code>ServiceRequest.reasonReference</code>, the referenced resources <strong>SHOULD</strong> be a US Core Profile.</li>
</ul>
</li>
<li><code>Procedure.reasonCode</code> or <code>Procedure.reasonReference</code> when the Procedure does not have an associated ServiceRequest.
<ul>
<li>Although both <code>Procedure.reasonCode</code> and <code>Procedure.reasonReference</code> are marked as Additional USCDI Requirements. The certifying server system is not required to support both but <strong>SHALL</strong> support at least one of these elements. The certifying client application <strong>SHALL</strong> support both elements.</li>
<li>As documented <a href="http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles">here</a>, when using <code>Procedure.reasonReference</code>, the referenced resources <strong>SHOULD</strong> be a US Core Profile.</li>
</ul>
</li>
</ol>
<p>Certifying Servers and Clients <strong>SHALL</strong> support options 1 and 2 as Additional USCDI Requirements.</p>
</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody/></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td>patient+category+authored</td><td><code><unknown></code>+<code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHALL</b></td><td>patient+code</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHALL</b></td><td>patient+category</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td>patient+status</td><td><code><unknown></code>+<code><unknown></code></td></tr><tr><td><b>SHOULD</b></td><td>patient+code+authored</td><td><code><unknown></code>+<code><unknown></code>+<code><unknown></code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Specimen1-30" class="panel-title"><span style="float: right;">Resource Conformance: SHALL</span>Specimen</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/specimen.html">Specimen</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>, <code>history-instance</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-type</code>.</li></ul></div></div><p/><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ValueSet1-31" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD</span>ValueSet</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/valueset.html">ValueSet</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul/></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td>$expand</td><td><div><p>A client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions.</p>
</div></td></tr></tbody></table></div></div></div></div></div></div>
</text>
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<valueCode value="hsswg"/>
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<url value="http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server"/>
<version value="2.0.0-ballot"/>
<name value="ELTSSSERVERCAPABILITYSTATEMENT"/>
<title value="eLTSS Server Capability Statement"/>
<status value="active"/>
<experimental value="false"/>
<date value="2023-11-20T00:35:01.173356-08:00"/>
<publisher value="HL7 International / Human and Social Services"/>
<contact>
<name value="HL7 International / Human and Social Services"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/hsswg"/>
</telecom>
<telecom>
<system value="email"/>
<value value="hhswg@lists.HL7.org"/>
</telecom>
</contact>
<description
value="This Section describes the expected capabilities of the eLTSS/ US Core Server actor which is responsible for providing responses to the queries submitted by the Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and and the ONC [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isa/sites/isa/files/2020-03/USCDI-Version1-2020-Final-Standard.pdf). eLTSS/ US Core 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 value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
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<kind value="requirements"/>
<instantiates
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<extension
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<imports
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<fhirVersion value="4.0.1"/>
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<format value="xml">
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<implementationGuide
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<implementationGuide
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<rest>
<mode value="server"/>
<documentation
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1. Support the eLTSS/ US CORE Patient resource profile.
1. Support at least one additional resource profile from the list of eLTSS/ US CORE Profiles.
1. Implement the RESTful behavior according to the FHIR specification.
1. Return the following response classes:
- (Status 400): invalid parameter
- (Status 401/4xx): unauthorized request
- (Status 403): insufficient scope
- (Status 404): unknown resource
- (Status 410): deleted resource.
1. Support json source formats for all US Core interactions.
The eLTSS/ US CORE Server **SHOULD**:
1. Follow US CORE guidance on Must Support
1. Support xml source formats for all eLTSS/ US CORE interactions.
1. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.
1. Support xml resource formats for all Argonaut questionnaire interactions."/>
<security>
<description
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1. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` unauthorized response code."/>
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<resource>
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<type value="AllergyIntolerance"/>
<supportedProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance">🔗
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<interaction>
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<code value="vread"/>
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<interaction>
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<interaction>
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<definition
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<name value="date"/>
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The server **SHALL** support both."/>
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1. US Core PractitionerRole Profile
1. US Core Patient Profile
1. US Core RelatedPerson Profile
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* When `Condition.category` is "encounter-diagnosis" the encounter, **SHOULD** be referenced in `Condition.encounter`.
* For Problems and Health Concerns use the *US Core Condition Problems and Health Concerns Profile*.
* When `Condition.category` is a "problems-list-item", the `Condition.clinicalStatus **SHOULD NOT** be unknown.
* There is no single element in Condition that represents the date of diagnosis. It may be the assertedDate Extension, `Condition.onsetDateTime`, or `Condition.recordedDate`.
* Although all three are marked as must support, the server is not required to support all.
* A server **SHALL** support `Condition.recordedDate`.
* A server **SHALL** support at least one of the assertedDate Extension and `Condition.onsetDateTime`. A server may support both, which means they support all three elements.
* The client application **SHALL** support all three elements."/>
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<type value="Device"/>
<supportedProfile
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<extension
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</extension>
</supportedProfile>
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UDI may not be present in all scenarios such as historical implantable devices, patient reported implant information, payer reported devices, or improperly documented implants. If UDI is not present and the manufacturer and/or model number information is available, they **SHOULD** be included to support historical reports of implantable medical devices as follows:
manufacturer -> `Device.manufacturer`
model -> `Device.model`
* Servers **SHOULD** support query by Device.type to allow clients to request the patient's devices by a specific type. Note: The Device.type is too granular to differentiate implantable vs. non-implantable devices."/>
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<extension url="required">
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<extension url="required">
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</extension>
<type value="DiagnosticReport"/>
<supportedProfile
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<extension
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<valueCode value="SHALL"/>
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</supportedProfile>
<supportedProfile
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<name value="category"/>
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<type value="token"/>
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The server **SHALL** support both."/>
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A server **SHALL** support a value precise to the *second + time offset*."/>
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The server **SHALL** support both."/>
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<valueCode value="SHALL"/>
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* Although both are marked as must support, the server system is not required to support an address, and inline base64 encoded data, but **SHALL** support at least one of these elements.
* The client application **SHALL** support both elements.
* The `content.url` may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.
* If the endpoint is outside the FHIR base URL, it **SHOULD NOT** require additional authorization to access.
* If there are multiple `DocumentReference.content` element repetitions, these **SHALL** all represent the same document in different format or attachment metadata. The content element **SHALL** not contain different versions of the same content. For version handling use multiple DocumentReferences with `DocumentReference.relatesTo`
* Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference **SHALL** be present either in `DocumentReference.custodian` or accessible in the Provenance resource targeting the DocumentReference using `Provenance.agent.who` or `Provenance.agent.onBehalfOf`."/>
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The server **SHALL** support both."/>
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<extension url="required">
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<extension url="required">
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<type value="Encounter"/>
<supportedProfile
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<extension
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<valueCode value="MAY"/>
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<name value="status"/>
<definition
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<type value="token"/>
<documentation
value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.
The server **SHALL** support both."/>
</searchParam>
</resource>
<resource>
<extension
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<valueCode value="SHALL"/>
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<type value="Organization"/>
<supportedProfile
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<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
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<code value="create"/>
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<extension
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<valueCode value="SHALL"/>
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<code value="search-type"/>
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<interaction>
<extension
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<valueCode value="SHALL"/>
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<code value="read"/>
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<interaction>
<extension
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<valueCode value="SHOULD"/>
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<code value="vread"/>
</interaction>
<interaction>
<extension
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<valueCode value="MAY"/>
</extension>
<code value="update"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
</extension>
<code value="patch"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
</extension>
<code value="delete"/>
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<interaction>
<extension
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<valueCode value="SHOULD"/>
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<code value="history-instance"/>
</interaction>
<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="history-type"/>
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<referencePolicy value="resolves">
<extension
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<valueCode value="SHOULD"/>
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</referencePolicy>
<searchParam>
<extension
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<valueCode value="SHALL"/>
</extension>
<name value="address"/>
<definition
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<type value="string"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="name"/>
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<type value="string"/>
</searchParam>
</resource>
<resource>
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<valueCode value="SHALL"/>
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<extension
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<extension
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<valueCode value="SHOULD"/>
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<extension url="required">
<valueString value="gender"/>
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<extension
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<extension
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<valueCode value="SHOULD"/>
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<extension url="required">
<valueString value="death-date"/>
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<extension url="required">
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<extension
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<valueCode value="SHOULD"/>
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<extension url="required">
<valueString value="birthdate"/>
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<extension url="required">
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</extension>
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<extension
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<extension
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<valueCode value="SHALL"/>
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<extension url="required">
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<extension url="required">
<valueString value="name"/>
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<extension
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<extension
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<valueCode value="SHALL"/>
</extension>
<extension url="required">
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<extension url="required">
<valueString value="name"/>
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</extension>
<type value="Patient"/>
<supportedProfile
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<extension
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<valueCode value="SHALL"/>
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</supportedProfile>
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1. contact detail (e.g. a telephone number or an email address)
1. a communication language
1. a race
1. an ethnicity
1. a birth sex*
1. previous name
- Previous name is represented by providing an end date in the `Patient.name.period` element for a previous name.
1. suffix
- Suffix is represented using the `Patient.name.suffix` element.
* The Patient's Social Security Numbers **SHOULD NOT** be used as a patient identifier in `Patient.identifier.value`."/>
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<extension
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<valueCode value="MAY"/>
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<interaction>
<extension
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<valueCode value="SHALL"/>
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<interaction>
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<interaction>
<extension
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<code value="vread"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
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<interaction>
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<interaction>
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<interaction>
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</searchRevInclude>
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<valueCode value="SHALL"/>
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<name value="_id"/>
<definition
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<type value="token"/>
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<searchParam>
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url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
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<name value="birthdate"/>
<definition
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<type value="date"/>
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A server **SHALL** support a value a value precise to the *day*."/>
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<searchParam>
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<valueCode value="MAY"/>
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<name value="family"/>
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<type value="string"/>
<documentation
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</searchParam>
<searchParam>
<extension
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<name value="gender"/>
<definition
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<type value="token"/>
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value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.
The server **SHALL** support both."/>
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<searchParam>
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<valueCode value="MAY"/>
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<name value="given"/>
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<type value="string"/>
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<valueCode value="SHALL"/>
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<name value="identifier"/>
<definition
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<type value="token"/>
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The server **SHALL** support both."/>
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<searchParam>
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<name value="name"/>
<definition
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<type value="string"/>
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</resource>
<resource>
<extension
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<valueCode value="SHALL"/>
</extension>
<type value="Practitioner"/>
<supportedProfile
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<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
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</supportedProfile>
<documentation
value="Servers that support only US Core Practitioner Profile **SHALL** provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.
"/>
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<valueCode value="MAY"/>
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<code value="create"/>
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<valueCode value="SHALL"/>
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<code value="search-type"/>
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<interaction>
<extension
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<valueCode value="SHALL"/>
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<code value="read"/>
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<interaction>
<extension
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<valueCode value="SHOULD"/>
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<code value="vread"/>
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<interaction>
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<valueCode value="MAY"/>
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<code value="update"/>
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<extension
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<code value="patch"/>
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<extension
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<valueCode value="MAY"/>
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<code value="delete"/>
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<interaction>
<extension
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<valueCode value="SHOULD"/>
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<code value="history-instance"/>
</interaction>
<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="history-type"/>
</interaction>
<referencePolicy value="resolves">
<extension
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<valueCode value="SHOULD"/>
</extension>
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<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="identifier"/>
<definition
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<type value="token"/>
<documentation
value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.
The server **SHALL** support both."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="name"/>
<definition
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<type value="string"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<type value="PractitionerRole"/>
<supportedProfile
value="http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="* Due to implementer feedback, some US Core Profiles reference the PractitionerRole resource instead of the US Core PractitionerRole Profile. However the US Core PractitionerRole Profile **SHOULD** be used as the default profile if referenced by another US Core profile."/>
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<extension
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<valueCode value="MAY"/>
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<code value="create"/>
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<interaction>
<extension
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<valueCode value="SHALL"/>
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<code value="search-type"/>
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<interaction>
<extension
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<valueCode value="SHALL"/>
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<code value="read"/>
</interaction>
<interaction>
<extension
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<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="update"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="patch"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="delete"/>
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<extension
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<valueCode value="SHOULD"/>
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<code value="history-instance"/>
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<interaction>
<extension
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<valueCode value="MAY"/>
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<code value="history-type"/>
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<referencePolicy value="resolves">
<extension
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<valueCode value="SHOULD"/>
</extension>
</referencePolicy>
<searchInclude value="PractitionerRole:endpoint">
<extension
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<valueCode value="SHOULD"/>
</extension>
</searchInclude>
<searchInclude value="PractitionerRole:practitioner">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
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<searchParam>
<extension
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<valueCode value="SHALL"/>
</extension>
<name value="practitioner"/>
<definition
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<type value="reference"/>
<documentation
value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.
The server **SHALL** support both."/>
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<searchParam>
<extension
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<valueCode value="SHALL"/>
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<name value="specialty"/>
<definition
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<type value="token"/>
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The server **SHALL** support both."/>
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<resource>
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<valueCode value="SHALL"/>
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<extension
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<extension
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<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="date"/>
</extension>
</extension>
<extension
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<extension
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<valueCode value="SHOULD"/>
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<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="status"/>
</extension>
</extension>
<extension
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<extension
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<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="code"/>
</extension>
<extension url="required">
<valueString value="date"/>
</extension>
</extension>
<type value="Procedure"/>
<supportedProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="* Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.
* Only LOINC concepts that reflect actual procedures **SHOULD** be used
* A procedure including an implantable device **SHOULD** use `Procedure.focalDevice` with a reference to the *US Core Implantable Device Profile*.
* The Reason or justification for a referral or consultation is communicated through:
1. `ServiceRequest.reason` or `ServiceRequest.reason`, and `Procedure.basedOn` that links the Procedure to the US Core ServiceRequest Profile.
- `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. The certifying client application **SHALL** support both elements.
- As documented [here](http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles), when using `ServiceRequest.reasonReference`, the referenced resources **SHOULD** be a US Core Profile.
1. `Procedure.reasonCode` or `Procedure.reasonReference` when the Procedure does not have an associated ServiceRequest.
- 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. The certifying client application **SHALL** support both elements.
- As documented [here](http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles), when using `Procedure.reasonReference`, the referenced resources **SHOULD** be a US Core Profile.
Certifying Servers and Clients **SHALL** support options 1 and 2 as Additional USCDI Requirements."/>
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<code value="create"/>
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<code value="search-type"/>
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<code value="read"/>
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<interaction>
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<code value="vread"/>
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<interaction>
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<valueCode value="MAY"/>
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<code value="update"/>
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<interaction>
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<valueCode value="MAY"/>
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<code value="patch"/>
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<valueCode value="MAY"/>
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<code value="delete"/>
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<valueCode value="SHOULD"/>
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<code value="history-instance"/>
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<interaction>
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<valueCode value="MAY"/>
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<code value="history-type"/>
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<referencePolicy value="resolves">
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<valueCode value="SHOULD"/>
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<searchRevInclude value="Provenance:target">
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<valueCode value="SHALL"/>
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<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
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<name value="code"/>
<definition
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<type value="token"/>
<documentation
value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.
The server **SHALL** support both."/>
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<searchParam>
<extension
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<valueCode value="MAY"/>
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<name value="date"/>
<definition
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<type value="date"/>
<documentation
value="A client **SHALL** provide a value precise to the *second + time offset*.
A server **SHALL** support a value precise to the *second + time offset*."/>
</searchParam>
<searchParam>
<extension
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<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-patient"/>
<type value="reference"/>
<documentation
value="The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.
The server **SHALL** support both."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<name value="status"/>
<definition
value="http://hl7.org/fhir/us/core/SearchParameter/us-core-procedure-status"/>
<type value="token"/>
<documentation
value="The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.
The server **SHALL** support both."/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<type value="Provenance"/>
<supportedProfile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="* The US Core Provenance resource **SHALL** be supported for these US Core resources:
* AllergyIntolerance
* CarePlan
* CareTeam
* Condition
* Coverage
* Device
* DiagnosticReport
* DocumentReference
* Encounter
* Goal
* Immunization
* MedicationDispense
* MedicationRequest
* Observation
* Patient
* Procedure
* QuestionnaireResponse
* RelatedPerson
* ServiceRequest
* If a system receives a provider in `Provenance.agent.who` as free text they must capture who sent them the information as the organization. On request they **SHALL** provide this organization as the source and **MAY** include the free text provider.
* Systems that need to know the activity has occurred **SHOULD** populate the activity."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<referencePolicy value="resolves">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</referencePolicy>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Questionnaire"/>
<supportedProfile
value="http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="US Core defines two ways to represent the questions and responses to screening and assessment instruments:
- Observation: US Core Observation Screening Assessment Profile
- Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile
US Core Servers **SHALL** support US Core Observation Screening Assessment Profile and **SHOULD** support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="authored"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="status"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="questionnaire"/>
</extension>
</extension>
<type value="QuestionnaireResponse"/>
<supportedProfile
value="http://hl7.org/fhir/us/eltss/StructureDefinition/QuestionnaireResponse-eltss">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="US Core defines two ways to represent the questions and responses to screening and assessment instruments:
- Observation: US Core Observation Screening Assessment Profile
- Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile
US Core Servers **SHALL** support US Core Observation Screening Assessment Profile and **SHOULD** support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<searchRevInclude value="Provenance:target">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</searchRevInclude>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="name"/>
</extension>
</extension>
<type value="RelatedPerson"/>
<supportedProfile
value="http://hl7.org/fhir/us/eltss/StructureDefinition/RelatedPerson-eltss">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<referencePolicy value="resolves">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</referencePolicy>
<searchRevInclude value="Provenance:target">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</searchRevInclude>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="category"/>
</extension>
<extension url="required">
<valueString value="authored"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="status"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="code"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="category"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="code"/>
</extension>
<extension url="required">
<valueString value="authored"/>
</extension>
</extension>
<type value="ServiceRequest"/>
<supportedProfile
value="http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<documentation
value="* The Reason or justification for a referral or consultation is communicated through:
1. `ServiceRequest.reason` or `ServiceRequest.reason`, and `Procedure.basedOn` that links the Procedure to the US Core ServiceRequest Profile.
- `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. The certifying client application **SHALL** support both elements.
- As documented [here](http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles), when using `ServiceRequest.reasonReference`, the referenced resources **SHOULD** be a US Core Profile.
1. `Procedure.reasonCode` or `Procedure.reasonReference` when the Procedure does not have an associated ServiceRequest.
- 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. The certifying client application **SHALL** support both elements.
- As documented [here](http://hl7.org/fhir/us/core/general-guidance.html#referencing-us-core-profiles), when using `Procedure.reasonReference`, the referenced resources **SHOULD** be a US Core Profile.
Certifying Servers and Clients **SHALL** support options 1 and 2 as Additional USCDI Requirements."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<referencePolicy value="resolves">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</referencePolicy>
<searchRevInclude value="Provenance:target">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</searchRevInclude>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<type value="Specimen"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<referencePolicy value="resolves">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</referencePolicy>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="ValueSet"/>
<operation>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="expand"/>
<definition
value="http://hl7.org/fhir/OperationDefinition/ValueSet-expand"/>
<documentation
value="A client can determine the note and report types support by a server by invoking the standard FHIR Value Set Expansion ($expand) operation defined in the FHIR R4 specification. Because servers may support different read and write formats, it also is used to determine the formats (for example, text, pdf) the server supports read and write transactions."/>
</operation>
</resource>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="transaction"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="batch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="search-system"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-system"/>
</interaction>
</rest>
</CapabilityStatement>
IG © 2020+ HL7 International / Human and Social Services. Package hl7.fhir.us.eltss#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-15
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