Da Vinci Clinical Data Exchange (CDex)
2.0.0 - STU2 United States of America flag

This page is part of the Da Vinci Clinical Documentation Exchange (v2.0.0: STU2) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Data Source Client CapabilityStatement - XML Representation

Page standards status: Trial-use Maturity Level: 2

Raw xml | Download



<CapabilityStatement xmlns="http://hl7.org/fhir">
  <id value="data-source-client"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"> <h3 id="should_igs" class="no_toc">SHOULD Support the Following Implementation Guides:</h3> <ul> <li><a href="http://hl7.org/fhir/us/davinci-dtr/2022May/index.html">Documentation Templates and Rules 1.1.0-ballot</a></li> </ul> <h3 id="shall_css" class="no_toc">SHALL Implement All Or Parts Of The Following Capability Statements:</h3> <ul> <li><a href="http://hl7.org/fhir/us/davinci-cdex/CapabilityStatement/data-consumer-client">Data Consumer Client CapabilityStatement</a></li> </ul> <ul> <li><a href="http://hl7.org/fhir/us/core/CapabilityStatement-us-core-client.html">US Core Client CapabilityStatement</a></li> </ul> <h3 id="behavior">FHIR RESTful Capabilities</h3> <p>The Da Vinci CDex Data Source Client <strong>SHALL</strong>:</p> <ol> <li> <p>Support at least one of the CDex approaches for exchanging clinical information</p> <ol> <li>Task-Based Approach</li> <li>Attachments</li> </ol> </li> <li> <p>Follow the guidelines for <a href="signatures.html">Generating and Verifying Signed Resources</a> <em>if signatures are required</em>.</p> </li> <li> <p>Support JSON source formats for all Da Vinci CDex interactions.</p> </li> <li> <p>Declare a CapabilityStatement identifying transactions, and profiles supported.</p> <ul> <li>Follow the guidelines for <a href="attachments-conformance.html">Conforming to CDex Attachments</a> if supporting this exchange. The Da Vinci CDex Data Source Client <strong>MAY</strong>:</li> </ul> </li> <li> <p>Support XML source formats for all Da Vinci CDex interactions.</p> <blockquote> <p>Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON. Transforms to and from XML will invalidate signatures.</p> </blockquote> </li> </ol> <p id="security"><strong>Security:</strong></p> <ol> <li>For general security consideration refer to the FHIR <a href="http://build.fhir.org/secpriv-module.html">Security and Privacy Considerations</a>.</li> <li>For security considerations specific to this guide refer to the <a href="security.html">Security and Privacy</a> section.</li> </ol> <p><strong>Summary of System Wide Interactions</strong></p> <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> <p><strong>Summary of System Wide Operations</strong></p> <ul> <li><strong>SHOULD</strong> support the <a href="http://hl7.org/fhir/us/davinci-cdex/OperationDefinition/submit-attachment"><code>$submit-attachment</code></a> operation.</li> <blockquote><p>If <a href="attachments.html">Attachments</a> is supported, the Data Source Client <strong>SHALL</strong> support the <code>$submit-attachment</code> operation.</p> </blockquote></ul> <h3 id="resource-details" class="no_toc">RESTful Capabilities by Resource/Profile:</h3> <h4>Summary</h4> <table class="grid"> <thead> <tr> <th>Resource Type</th> <th>Supported Profiles</th> <th>Supported Searches</th> <th>Supported <code>_includes</code></th> <th>Supported <code>_revincludes</code></th> <th>Supported Operations</th> </tr> </thead> <tbody> <tr> <td> <a href="#communicationrequest">CommunicationRequest</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#documentreference">DocumentReference</a> </td> <td> <a href="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference">US Core DocumentReference Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#parameters">Parameters</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#questionnaireresponse">QuestionnaireResponse</a> </td> <td> <a href="StructureDefinition-cdex-sdc-questionnaireresponse.html">CDex SDC QuestionnaireResponse Profile</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> <tr> <td> <a href="#servicerequest">ServiceRequest</a> </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> <td> - </td> </tr> </tbody> </table> <h4 id="communicationrequest" class="no_toc">CommunicationRequest</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry authorization information regarding for requesting Clinical information</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code><sup>†</sup>, <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> <blockquote>read<sup>†</sup><p>Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario</p> </blockquote> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a CommunicationRequest resource using: <code class="highlighter-rouge">GET [base]/CommunicationRequest/[id]</code> </li> </ul> <hr/> <h4 id="documentreference" class="no_toc">DocumentReference</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to support the <code>$submit-attachment</code> operation</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHALL</strong> support: <a href="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference">US Core DocumentReference Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>, <code>update</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a DocumentReference resource using: <code class="highlighter-rouge">GET [base]/DocumentReference/[id]</code> </li> </ul> <hr/> <h4 id="parameters" class="no_toc">Parameters</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to support the <code>$submit-attachment</code> operation</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>create</code>, <code>read</code>, <code>vread</code>, <code>update</code>.</li><li><strong>MAY</strong> support <code>search-type</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a Parameters resource using: <code class="highlighter-rouge">GET [base]/Parameters/[id]</code> </li> </ul> <hr/> <h4 id="questionnaireresponse" class="no_toc">QuestionnaireResponse</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to support the <code>$submit-attachment</code> operation for Requesting Attachments Using Questionnaires. <em>SHALL</em>* support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse.</p> </blockquote> <p>Supported Profiles:</p> <ul> <li><strong>SHOULD</strong> support: <a href="StructureDefinition-cdex-sdc-questionnaireresponse.html">CDex SDC QuestionnaireResponse Profile</a> </li> </ul> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>read</code>, <code>vread</code>, <code>update</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>search-type</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a QuestionnaireResponse resource using: <code class="highlighter-rouge">GET [base]/QuestionnaireResponse/[id]</code> </li> </ul> <hr/> <h4 id="servicerequest" class="no_toc">ServiceRequest</h4> <p>Conformance Expectation: <strong>SHOULD</strong></p> <p>Resource Specific Documentation:</p> <blockquote><p>Required resource type to carry authorization information regarding for requesting Clinical information</p> </blockquote> <p>Profile Interaction Summary:</p> <ul> <li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code><sup>†</sup>, <code>vread</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li> </ul> <blockquote>read<sup>†</sup><p>Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario</p> </blockquote> <p>Fetch and Search Criteria:</p> <ul> <li> A Client <strong>SHOULD</strong> be capable of fetching a ServiceRequest resource using: <code class="highlighter-rouge">GET [base]/ServiceRequest/[id]</code> </li> </ul> <hr/> </div>
  </text>
  <url
       value="http://hl7.org/fhir/us/davinci-cdex/CapabilityStatement/data-source-client"/>
  <version value="2.0.0"/>
  <name value="DataSourceClientCapabilityStatement"/>
  <title value="Data Source Client CapabilityStatement"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2023-01-31T14:58:12.155102-08:00"/>
  <publisher value="HL7 International - Patient Care Work Group"/>
  <contact>
    <name value="HL7 International - Patient Care Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="patientcare@lists.HL7.org"/>
    </telecom>
  </contact>
  <description
               value="This CapabilityStatement describes the expected capabilities of a Da Vinci CDex Data Source  in *Client* mode during clinical data exchange with a Data Consumer. The capabilities include one or more of the following interactions:
1. Post the `$submit-attachment` operation to a Data Consumer endpoint.
2. Launch Da Vinci DTR.
3. Query for Authorization information represented by a CommunicationRequest or ServiceRequest.
4. Post a subscription notification to a Data Consumer endpoint updating the status of a task."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
  <kind value="requirements"/>
  <instantiates
                value="http://hl7.org/fhir/us/davinci-cdex/CapabilityStatement/data-consumer-client">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHALL"/>
    </extension>
  </instantiates>
  <instantiates
                value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHALL"/>
    </extension>
  </instantiates>
  <fhirVersion value="4.0.1"/>
  <format value="json">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHALL"/>
    </extension>
  </format>
  <format value="xml">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="MAY"/>
    </extension>
  </format>
  <implementationGuide
                       value="http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr|1.1.0-ballot">
    <extension
               url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
      <valueCode value="SHOULD"/>
    </extension>
  </implementationGuide>
  <rest>
    <mode value="client"/>
    <documentation
                   value="The  Da Vinci CDex Data Source Client **SHALL**:

1. Support at least one of the CDex approaches for exchanging clinical information
     1. Task-Based Approach
     1. Attachments
1. Follow the guidelines for [Generating and Verifying Signed Resources](signatures.html) *if signatures are required*.
1. Support JSON source formats for all Da Vinci CDex interactions.
1. Declare a CapabilityStatement identifying transactions, and profiles supported.
    - Follow the guidelines for [Conforming to CDex Attachments](attachments-conformance.html) if supporting this exchange.
The  Da Vinci CDex Data Source Client **MAY**:

1. Support XML source formats for all Da Vinci CDex interactions.
   
   &gt; Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON. Transforms to and from XML will invalidate signatures.

"/>
    <security>
      <description
                   value="1. For general security consideration refer to the FHIR [Security and Privacy Considerations](http://build.fhir.org/secpriv-module.html). 
1. For security considerations specific to this guide refer to the [Security and Privacy](security.html) section."/>
    </security>
    <resource>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHOULD"/>
      </extension>
      <type value="CommunicationRequest"/>
      <documentation
                     value="Required resource type to carry authorization information regarding for requesting Clinical information"/>
      <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"/>
        <documentation
                       value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/>
      </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>
      <type value="DocumentReference"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHALL"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="Required resource type to support the `$submit-attachment` operation"/>
      <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="SHOULD"/>
        </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>
      <type value="Parameters"/>
      <documentation
                     value="Required resource type to support the `$submit-attachment` operation"/>
      <interaction>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </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="SHOULD"/>
        </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>
      <type value="QuestionnaireResponse"/>
      <supportedProfile
                        value="http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-sdc-questionnaireresponse">
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
          <valueCode value="SHOULD"/>
        </extension>
      </supportedProfile>
      <documentation
                     value="Required resource type to support the `$submit-attachment` operation for Requesting Attachments Using Questionnaires. *SHALL** support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse."/>
      <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="SHOULD"/>
        </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>
      <type value="ServiceRequest"/>
      <documentation
                     value="Required resource type to carry authorization information regarding for requesting Clinical information"/>
      <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"/>
        <documentation
                       value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/>
      </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>
    <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>
    <operation>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
        <valueCode value="SHOULD"/>
      </extension>
      <name value="submit-attachment"/>
      <definition
                  value="http://hl7.org/fhir/us/davinci-cdex/OperationDefinition/submit-attachment"/>
      <documentation
                     value="If [Attachments](attachments.html) is supported, the Data Source Client **SHALL**  support the `$submit-attachment` operation."/>
    </operation>
  </rest>
</CapabilityStatement>