| Package | hl7.fhir.us.eltss |
| Type | CapabilityStatement |
| Id | Id |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/eltss/https://build.fhir.org/ig/HL7/eLTSS/CapabilityStatement-eltss-server.html |
| Url | http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server |
| Version | 2.0.0 |
| Status | active |
| Date | 2023-11-20T00:35:01.173356-08:00 |
| Name | ELTSSSERVERCAPABILITYSTATEMENT |
| Title | eLTSS Server Capability Statement |
| Experimental | False |
| Realm | us |
| Authority | hl7 |
| Description | 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 eLTSS/US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by eLTSS/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 the ONC [U.S. Core Data for Interoperability (USCDI) Version 3 July 2022](https://www.healthit.gov/isa/sites/isa/files/2022-07/USCDI-Version-3-July-2022-Final.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. |
| Copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| Kind | requirements |
| CapabilityStatement | |
eltss-server  | eLTSS Server Capability Statement |
Note: links and images are rebased to the (stated) source
FHIRjson, SHOULD support xmlapplication/json-patch+jsonNote to Implementers: FHIR Capabilities
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.
This requirements capability statement imports the entirety of the US Core Server CapabilityStatement from US Core. Refer to the imported capability statement for full information on the capabilities defined by this capability statement.The imports field in the JSON indicates from which capability statements an IG imports. As an implementer, you can think of this as similar to profiling. This means that the expectation of this Server Capability statement is that the entire US Core capability statement will be conformed too, in addition to specifications that follow. The JSON/XML version of the CapabilityStatement is the computable specification. This narrative is for convenience only.
serverThe eLTSS/US Core Server SHALL:
The eLTSS/US Core Server SHOULD:
meta.profile attribute for each instance.
- See the General Security Considerations section for requirements and recommendations.
- A server SHALL reject any unauthorized requests by returning an
HTTP 401"Unauthorized",HTTP 403"Forbidden", orHTTP 404"Not Found"
transaction interaction.batch interaction.search-system interaction.history-system interaction.The summary table lists the resources that are part of this configuration, and for each resource it lists:
_include_revinclude| Resource Type | Profile | Searches | _include | _revinclude | Operations |
|---|---|---|---|---|---|
| AllergyIntolerance | Supported profiles: US Core AllergyIntolerance Profile | clinical-status, patient, patient+clinical-status | Provenance:target | ||
| CarePlan | Supported profiles: CarePlan_eltss | category, date, patient, status, patient+category+status, patient+category+status+date, patient+category, patient+category+date | Provenance:target | $all-eltss-careplan | |
| CareTeam | Supported profiles: US Core CareTeam Profile | patient, status, role, patient+status, patient+role | CareTeam:participant:PractitionerRole, CareTeam:participant:Practitioner, CareTeam:participant:Patient, CareTeam:participant:RelatedPerson | Provenance:target | |
| Condition | Supported profiles: US Core Condition Encounter Diagnosis Profile US Core Condition Problems and Health Concerns Profile Condition_eltss | category, clinical-status, patient, onset-date, asserted-date, recorded-date, abatement-date, code, encounter, patient+recorded-date, patient+asserted-date, patient+category+clinical-status, patient+onset-date, patient+abatement-date, patient+clinical-status, patient+category+encounter, patient+code, patient+category | Provenance:target | ||
| Coverage | Supported profiles: US Core Coverage Profile | patient | Provenance:target | ||
| Device | Supported profiles: US Core Implantable Device Profile | patient, type, status, patient+type, patient+status | Provenance:target | ||
| DiagnosticReport | Supported profiles: US Core DiagnosticReport Profile for Report and Note Exchange US Core DiagnosticReport Profile for Laboratory Results Reporting | status, patient, category, code, date, patient+code+date, patient+status, patient+category+date, patient+category, patient+code | Provenance:target | ||
| DocumentReference | Supported profiles: US Core DocumentReference Profile | _id, status, patient, category, type, date, period, patient+type, patient+status, patient+type+period, patient+category+date, patient+category | Provenance:target | $docref | |
| Encounter | Supported profiles: US Core Encounter Profile | _id, class, date, identifier, patient, location, status, type, discharge-disposition, patient+type, class+patient, patient+status, date+patient, patient+location, patient+discharge-disposition | Provenance:target | ||
| Endpoint | |||||
| Goal | Supported profiles: Goal_eltss | lifecycle-status, patient, target-date, description, patient+target-date, patient+description, patient+lifecycle-status | Provenance:target | ||
| HealthcareService | |||||
| Immunization | Supported profiles: US Core Immunization Profile | patient, status, date, patient+date, patient+status | Provenance:target | ||
| Location | Supported profiles: Location_eltss | name, address, address-city, address-state, address-postalcode | |||
| Media | |||||
| Medication | Supported profiles: US Core Medication Profile | ||||
| MedicationDispense | Supported profiles: US Core MedicationDispense Profile | status, type, patient, patient+status+type, patient+status | MedicationDispense:medication | Provenance:target | |
| MedicationRequest | Supported profiles: US Core MedicationRequest Profile | status, intent, patient, encounter, authoredon, patient+intent+encounter, patient+intent+status, patient+intent+authoredon, patient+intent | MedicationRequest:medication | Provenance:target | |
| Observation | Supported profiles: Observation_eltss US Core Laboratory Result Observation Profile US Core Observation Pregnancy Status Profile US Core Observation Pregnancy Intent Profile US Core Observation Occupation Profile US Core Respiratory Rate Profile US Core Simple Observation Profile US Core Heart Rate Profile US Core Body Temperature Profile US Core Pediatric Weight for Height Observation Profile US Core Pulse Oximetry Profile US Core Smoking Status Observation Profile US Core Observation Sexual Orientation Profile US Core Head Circumference Profile US Core Body Height Profile US Core BMI Profile US Core Observation Screening Assessment Profile US Core Blood Pressure Profile US Core Observation Clinical Result Profile US Core Pediatric BMI for Age Observation Profile US Core Pediatric Head Occipital Frontal Circumference Percentile Profile US Core Body Weight Profile US Core Vital Signs Profile | status, category, code, date, patient, patient+code+date, patient+category+status, patient+category+date, patient+category, patient+code | Provenance:target | ||
| Organization | Supported profiles: US Core Organization Profile | name, address | |||
| Patient | Supported profiles: Patient_eltss | _id, birthdate, death-date, family, gender, given, identifier, name, birthdate+family, family+gender, birthdate+name, gender+name, death-date+family | Provenance:target | ||
| Practitioner | Supported profiles: Practitioner_eltss | _id, name, identifier | |||
| PractitionerRole | Supported profiles: eLTSS PractitionerRole Profile | specialty, practitioner | PractitionerRole:endpoint, PractitionerRole:practitioner | ||
| Procedure | Supported profiles: US Core Procedure Profile | status, patient, date, code, patient+code+date, patient+status, patient+date | Provenance:target | ||
| Provenance | Supported profiles: US Core Provenance Profile | ||||
| Questionnaire | Supported profiles: Questionnaire_eltss | ||||
| QuestionnaireResponse | Supported profiles: eLTSS QuestionnaireResponse Profile | _id, patient, status, authored, questionnaire, patient+questionnaire, patient+authored, patient+status | Provenance:target | ||
| RelatedPerson | Supported profiles: eLTSS RelatedPerson Profile | _id, patient, name, patient+name | Provenance:target | ||
| ServiceRequest | Supported profiles: ServiceRequest_eltss | status, patient, category, code, authored, _id, patient+category+authored, patient+status, patient+category, patient+code+authored, patient+code | Provenance:target | ||
| Specimen | Supported profiles: US Core Specimen Profile | _id, patient | |||
| ValueSet | $expand |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | clinical-status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| Conformance | Parameters | Types |
|---|---|---|
| SHOULD | patient+clinical-status | reference+token |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/CarePlan-eltss
- Additional considerations for systems aligning with HL7 Consolidated (C-CDA) Care Plan requirements:
- eLTSS Goal SHOULD be present in CarePlan.goal
- eLTSS or US Core Condition SHOULD be present in CarePlan.addresses
- Assement and Plan MAY be included as narrative text
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| Conformance | Operation | Documentation |
|---|---|---|
| SHALL | $all-eltss-careplan | A server MAY be capable of responding to a $all-eltss-careplan operation and capable of returning a bundle that provides all eLTSS data for a given Patient’s identified CarePlan. Given a CarePlan with a specific Patient and ID, this operation will return all the referenced artifacts necessary to satisfy the eLTSS data element set found in the DAM. The Operation reduces the number of queries that a client must make. GET [base]/CarePlan/[id]/$all-eltss-careplan |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam
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:
- US Core Practitioner Profile
- US Core PractitionerRole Profile
- US Core Patient Profile
- US Core RelatedPerson Profile
- Although both US Core Practitioner Profile and US Core PractitionerRole are must support, the server system is not required to support both types of references (and
_includesearch parameters), but SHALL support at least one of them.- The client application SHALL support all four profile references.
- Bacause the US Core PractitionerRole Profile supplies the provider's location and contact information and a reference to the Practitioner, server systems SHOULD reference it instead of the US Core Practitioner Profile.
- Servers that supports 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.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHOULD | role | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.
- For Encounter Diagnosis use the US Core Condition Encounter Diagnosis Profile.
- When
Condition.categoryis "encounter-diagnosis" the encounter, SHOULD be referenced inCondition.encounter.- For Problems and Health Concerns use the eLTSSCondition Problems and Health Concerns Profile.
- When
Condition.categoryis 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, orCondition.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 3 locations.- The client application SHALL support all three elements.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | clinical-status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | onset-date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | asserted-date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | recorded-date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | abatement-date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | code | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | encounter | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| Conformance | Parameters | Types |
|---|---|---|
| SHALL | patient+category | reference+token |
| SHOULD | patient+recorded-date | reference+date |
| SHOULD | patient+asserted-date | reference+date |
| SHOULD | patient+category+clinical-status | reference+token+token |
| SHOULD | patient+onset-date | reference+date |
| SHOULD | patient+abatement-date | reference+date |
| SHOULD | patient+clinical-status | reference+token |
| SHOULD | patient+category+encounter | reference+token+reference |
| SHOULD | patient+code | reference+token |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.
Implantable medical devices that have UDI information SHALL represent the UDI code in
Device.udiCarrier.carrierHRF.
- All of the five UDI-PI elements that are present in the UDI code SHALL be represented in the corresponding US Core Implantable Device Profile element.
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.modelServers 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.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | type | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
resolvescreate, search-type, read.vread, history-instance.update, patch, delete, history-type.| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | code | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
resolvescreate, search-type, read.vread, history-instance.update, patch, delete, history-type.
- The
DocumentReference.typebinding SHALL support at a minimum the 5 Common Clinical Notes and may extend to the full US Core DocumentReference Type Value Set- The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using
DocumentReference.attachment.urlor the content as inline base64 encoded data usingDocumentReference.attachment.data.
- 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.urlmay 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.
- Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference SHALL be present either in
DocumentReference.custodianor accessible in the Provenance resource targeting the DocumentReference usingProvenance.agent.whoorProvenance.agent.onBehalfOf.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | _id | token | |
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | type | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | period | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| Conformance | Operation | Documentation |
|---|---|---|
| SHALL | $docref | A server SHALL be capable of responding to a $docref operation and capable of returning at least a reference to a generated CCD document, if available. MAY provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD** provide references to any document that falls within the date range. If no date range is supplied, then the server SHALL provide references to last or current document(s). SHOULD document what resources, if any, are returned as included resources
|
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter
The Encounter resource can represent a reason using either a code with
Encounter.reasonCode, or a reference withEncounter.reasonReferenceto Condition or other resource.
- Although both are marked as must support, the server systems are not required to support both a code and a reference, but they SHALL support at least one of these elements.
- The client application SHALL support both elements.
- if
Encounter.reasonReferencereferences an Observation, it SHOULD conform to a US Core or eLTSS Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)The location address can be represented by either by the Location referenced by
Encounter.location.locationor indirectly through the Organization referenced byEncounter.serviceProvider.
- Although both are marked as must support, the server systems are not required to support both
Encounter.location.locationandEncounter.serviceProvider, but they SHALL support at least one of these elements.- The client application SHALL support both elements.
- if using
Encounter.location.locationit SHOULD conform to eLTSSLocation.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | _id | token | |
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| SHOULD | identifier | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | class | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | location | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | type | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | discharge-disposition | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
resolvesread, vread.create, search-type, update, patch, delete, history-instance, history-type.The Media Resource is a Must Suppot referenced resource when using the US Core PracitionerRole Profile.
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.
- Although both
Goal.startDateandGoal.target.dueDateare marked as must support, the server system is not required to support both, but SHALL support at least one of these elements. The client application SHALL support both elements.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | lifecycle-status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | target-date | date | A client SHALL provide a value precise to the day. A server SHALL support a value a value precise to the day. |
| MAY | description | token |
| Conformance | Parameters | Types |
|---|---|---|
| SHOULD | patient+target-date | reference+date |
| SHOULD | patient+description | reference+token |
| SHOULD | patient+lifecycle-status | reference+token |
resolvesread, vread.create, search-type, update, patch, delete, history-instance, history-type.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."
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization
- Based upon the ONC U.S. Core Data for Interoperability (USCDI) requirements, CVX vaccine codes are required and the NDC vaccine codes SHOULD be supported as translations to them.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss
- The US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they SHOULD be used as the default profile if referenced by another US Core profile.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | name | string | |
| SHALL | address | string | |
| SHOULD | address-city | string | |
| SHOULD | address-state | string | |
| SHOULD | address-postalcode | string |
resolvesread, vread.create, search-type, update, patch, delete, history-instance, history-type.The Media Resource is a Must Suppot referenced resource when using the US Core DiagnosticReport Profile for Report and Note Exchange.
resolvesread.vread, history-instance.create, search-type, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication
- 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 SHALL be supported.
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.
- The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be contained or an external resource. The server application MAY choose any one way or more than one method, but if an external reference to Medication is used, the server SHALL support the _include` parameter for searching this element. The client application must support all methods.
For example, A server SHALL be capable of returning dispense records for all medications for a patient using one of or both:
GET /MedicationDispense?patient=[id]
GET /MedicationDispense?patient=[id]&_include=MedicationDispense:medication
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | type | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.
- The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be contained or an external resource. The server application MAY choose any one way or more than one method, but if an external reference to Medication is used, the server SHALL support the _include` parameter for searching this element. The client application must support all methods.
For example, A server SHALL be capable of returning all medications for a patient using one of or both:
GET /MedicationRequest?patient=[id]
GET /MedicationRequest?patient=[id]&_include=MedicationRequest:medication
- The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in
MedicationRequest.reportedBoolean, or a reference usingMedicationRequest.reportedReferenceto Practitioner or other resource.
- Although both are marked as must support, the server systems are not required to support both a boolean and a reference, but SHALL choose to support at least one of these elements.
- The client application SHALL support both elements.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | intent | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | encounter | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | authoredon | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/Observation-eltss
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancystatus
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation
http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate
http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation
http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate
http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature
http://hl7.org/fhir/us/core/StructureDefinition/pediatric-weight-for-height
http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry
http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation
http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference
http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height
http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment
http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result
http://hl7.org/fhir/us/core/StructureDefinition/pediatric-bmi-for-age
http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile
http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight
http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs
- Systems SHOULD support
Observation.effectivePeriodto accurately represent tests that are collected over a period of time (for example, a 24-Hour Urine Collection test).- An Observation without a value, SHALL include a reason why the data is absent unless there are component observations, or references to other Observations that are grouped within it
- Systems that never provide an observation without a value are not required to support
Observation.dataAbsentReason- An
Observation.componentwithout a value, SHALL include a reason why the data is absent.
- Systems that never provide an component observation without a component value are not required to support
Observation.component.dataAbsentReason.- Systems SHOULD support
Observation.effectivePeriodto accurately represent procedure tests that are collected over a period of time.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | code | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization
- Systems SHALL support National Provider Identifier (NPI) for organizations and SHOULD support Clinical Laboratory Improvement Amendments (CLIA) identifiers for
Organization.Identifier.
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/Patient-eltss
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.
- contact detail (e.g. a telephone number or an email address)
- a communication language
- a race
- an ethnicity
- a birth sex*
- previous name
- Previous name is represented by providing an end date in the
Patient.name.periodelement for a previous name.- suffix
- Suffix is represented using the
Patient.name.suffixelement.The Patient's Social Security Numbers SHOULD NOT be used as a patient identifier in
Patient.identifier.value.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | _id | token | |
| SHALL | identifier | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| SHALL | name | string | |
| MAY | birthdate | date | A client SHALL provide a value precise to the day. A server SHALL support a value a value precise to the day. |
| MAY | death-date | date | A client SHALL provide a value precise to the day. A server SHALL support a value a value precise to the day. |
| MAY | family | string | A server SHALL support a value precise to the day. |
| MAY | gender | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | given | string |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/Practitioner-eltss
Servers that support only eLTSSPractitioner Profile SHALL provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | name | string | |
| SHALL | identifier | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| SHOULD | _id | token |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/PractitionerRole-eltss
- The US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they SHOULD be used as the default profile if referenced by another US Core profile.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | specialty | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| SHALL | practitioner | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure
- 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.focalDevicewith a reference to the US Core Implantable Device Profile.
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | date | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | code | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
resolvesread.vread, history-instance.create, search-type, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance
- 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.whoas 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.
read, vread.create, search-type, update, patch, delete, history-instance, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss
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
eLTSS/US Core Servers SHALL support US Core Observation Screening Assessment Profile and SHOULD support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile, the eLTSS Questionnaire Profile and the eLTSS QuestionnaireResponse Profile
search-type, read, vread, history-instance.create, update, patch, delete, history-type.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
eLTSS/US Core Servers SHALL support US Core Observation Screening Assessment Profile and SHOULD support the SDC Base Questionnaire Profile/US Core QuestionnaireResponse Profile , the eLTSS Questionnaire Profile and the eLTSS QuestionnaireResponse Profile
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | _id | token | |
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | authored | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
| MAY | questionnaire | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
resolvessearch-type, read.vread, history-instance.create, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/RelatedPerson-eltss
resolvesread.vread, history-instance.create, search-type, update, patch, delete, history-type.http://hl7.org/fhir/us/eltss/StructureDefinition/ServiceRequest-eltss
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | patient | reference | The client SHALL provide at least a id value and MAY provide both the Type and id values. The server SHALL support both. |
| SHALL | _id | token | |
| MAY | status | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | category | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | code | token | The client SHALL provide at least a code value and MAY provide both the system and code values. The server SHALL support both. |
| MAY | authored | date | A client SHALL provide a value precise to the second + time offset. A server SHALL support a value precise to the second + time offset. |
resolvesread.vread, history-instance.create, search-type, update, patch, delete, history-type.http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen
| Conformance | Operation | Documentation |
|---|---|---|
| SHOULD | $expand | If a server supports DocumentReference for creating, using, and sharing clinical notes, it SHOULD also support the |
{
"resourceType" : "CapabilityStatement",
"id" : "eltss-server",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2 id=\"title\">eLTSS Server Capability Statement</h2><ul><li>Implementation Guide Version: 2.0.0</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: 2023-11-20 00:35:01-0800</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><div class=\"lead\"><em>This requirements capability statement imports the entirety of the US Core Server CapabilityStatement from <a href=\"https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html\">US Core</a>. Refer to the imported capability statement for full information on the capabilities defined by this capability statement.</em><br/><br/><p>The imports field in the JSON indicates from which capability statements an IG imports. As an implementer, you can think of this as similar to profiling. This means that the expectation of this Server Capability statement is that the entire US Core capability statement will be conformed too, in addition to specifications that follow. The JSON/XML version of the CapabilityStatement is the computable specification. This narrative is for convenience only.</p></div></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/STU6.1/ImplementationGuide-hl7.fhir.us.core.html\">http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1</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>\n<ol>\n<li>Support the eLTSS Patient resource profile AND at least one additional resource profile from the list of eLTSS/US Core Profiles AND all Must Support eLTSS/US Core Profiles and resources it references.\n<ul>\n<li>The tables below summarizes the Must Support references to other eLTSS/US Core Profiles and FHIR resources for each eLTSS/US Core Profile:</li>\n</ul>\n</li>\n<li>Implement the RESTful behavior according to the FHIR specification.</li>\n<li>Follow the requirements documented in the <a href=\"https://hl7.org/fhir/us/core/STU6.1/general-requirements.html\">General Requirements</a> and <a href=\"https://hl7.org/fhir/us/core/STU6.1/must-support.html\">Must Support</a> pages</li>\n<li>Return the following response classes:\n<ul>\n<li>(Status 400): invalid parameter</li>\n<li>(Status 401/4xx): unauthorized request</li>\n<li>(Status 403): insufficient scopes</li>\n<li>(Status 404): unknown resource</li>\n</ul>\n</li>\n<li>Support JSON source formats for all eLTSS/US Core interactions.</li>\n</ol>\n<p>The eLTSS/US Core Server <strong>SHOULD</strong>:</p>\n<ol>\n<li>Follow the guidance documented in the <a href=\"https://hl7.org/fhir/us/core/STU6.1/general-guidance.html\">General Guidance</a> page</li>\n<li>Support XML source formats for all eLTSS/US Core interactions.</li>\n<li>Identify the eLTSS/US Core profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li>\n</ol>\n</div><div class=\"lead\"><em>Security</em></div><blockquote><div><ol>\n<li>See the <a href=\"http://hl7.org/fhir/us/core/STU6.1/security.html\">General Security Considerations</a> section for requirements and recommendations.</li>\n<li>A server <strong>SHALL</strong> reject any unauthorized requests by returning an <code>HTTP 401</code> "Unauthorized", <code>HTTP 403</code> "Forbidden", or <code>HTTP 404</code> "Not Found"</li>\n</ol>\n</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><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><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/STU6.1/StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profile</a></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>category, date, patient, status, patient+category+status, patient+category+status+date, patient+category, patient+category+date</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/STU6.1/StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a></td><td>patient, status, role, patient+status, patient+role</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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">US Core Condition Encounter Diagnosis Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns Profile</a><br/>��<a href=\"StructureDefinition-Condition-eltss.html\">Condition_eltss</a></td><td>category, clinical-status, patient, onset-date, asserted-date, recorded-date, abatement-date, code, encounter, patient+recorded-date, patient+asserted-date, patient+category+clinical-status, patient+onset-date, patient+abatement-date, patient+clinical-status, patient+category+encounter, patient+code, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Coverage1-5\">Coverage</a></td><td>Supported profiles:<br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html\">US Core Coverage Profile</a></td><td>patient</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/STU6.1/StructureDefinition-us-core-implantable-device.html\">US Core Implantable Device Profile</a></td><td>patient, type, status, patient+type, patient+status</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/STU6.1/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/STU6.1/StructureDefinition-us-core-diagnosticreport-lab.html\">US Core DiagnosticReport Profile for Laboratory Results Reporting</a></td><td>status, patient, category, code, date, patient+code+date, patient+status, patient+category+date, patient+category, patient+code</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/STU6.1/StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a></td><td>_id, status, patient, category, type, date, period, patient+type, patient+status, 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/STU6.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></td><td>_id, class, date, identifier, patient, location, status, type, discharge-disposition, patient+type, class+patient, patient+status, date+patient, patient+location, patient+discharge-disposition</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Endpoint1-10\">Endpoint</a></td><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>lifecycle-status, patient, target-date, description, patient+target-date, patient+description, patient+lifecycle-status</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#HealthcareService1-12\">HealthcareService</a></td><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/STU6.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a></td><td>patient, status, date, 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>name, address, address-city, address-state, address-postalcode</td><td/><td/><td/></tr><tr><td><a href=\"#Media1-15\">Media</a></td><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/STU6.1/StructureDefinition-us-core-medication.html\">US Core Medication Profile</a></td><td/><td/><td/><td/></tr><tr><td><a href=\"#MedicationDispense1-17\">MedicationDispense</a></td><td>Supported profiles:<br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-medicationdispense.html\">US Core MedicationDispense Profile</a></td><td>status, type, patient, patient+status+type, patient+status</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/STU6.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></td><td>status, intent, patient, encounter, authoredon, patient+intent+encounter, patient+intent+status, patient+intent+authoredon, patient+intent</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/STU6.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-pregnancystatus.html\">US Core Observation Pregnancy Status Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-pregnancyintent.html\">US Core Observation Pregnancy Intent Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-occupation.html\">US Core Observation Occupation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-respiratory-rate.html\">US Core Respiratory Rate Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-simple-observation.html\">US Core Simple Observation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-heart-rate.html\">US Core Heart Rate Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-temperature.html\">US Core Body Temperature Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-pediatric-weight-for-height.html\">US Core Pediatric Weight for Height Observation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-pulse-oximetry.html\">US Core Pulse Oximetry Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-sexual-orientation.html\">US Core Observation Sexual Orientation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-head-circumference.html\">US Core Head Circumference Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-height.html\">US Core Body Height Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-bmi.html\">US Core BMI Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-screening-assessment.html\">US Core Observation Screening Assessment Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-blood-pressure.html\">US Core Blood Pressure Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-clinical-result.html\">US Core Observation Clinical Result Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-pediatric-bmi-for-age.html\">US Core Pediatric BMI for Age Observation Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-head-occipital-frontal-circumference-percentile.html\">US Core Pediatric Head Occipital Frontal Circumference Percentile Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-weight.html\">US Core Body Weight Profile</a><br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-vital-signs.html\">US Core Vital Signs Profile</a></td><td>status, category, code, date, patient, patient+code+date, patient+category+status, patient+category+date, patient+category, patient+code</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/STU6.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a></td><td>name, address</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>_id, birthdate, death-date, family, gender, given, identifier, name, birthdate+family, family+gender, birthdate+name, gender+name, death-date+family</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>_id, name, identifier</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>specialty, practitioner</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/STU6.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profile</a></td><td>status, patient, date, code, patient+code+date, patient+status, patient+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/STU6.1/StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a></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/><td/><td/><td/></tr><tr><td><a href=\"#QuestionnaireResponse1-27\">QuestionnaireResponse</a></td><td>Supported profiles:<br/>��<a href=\"StructureDefinition-QuestionnaireResponse-eltss.html\">eLTSS QuestionnaireResponse Profile</a></td><td>_id, patient, status, authored, questionnaire, patient+questionnaire, patient+authored, patient+status</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>_id, patient, name, 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>status, patient, category, code, authored, _id, patient+category+authored, patient+status, patient+category, patient+code+authored, patient+code</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href=\"#Specimen1-30\">Specimen</a></td><td>Supported profiles:<br/>��<a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-specimen.html\">US Core Specimen Profile</a></td><td>_id, patient</td><td/><td/><td/></tr><tr><td><a href=\"#ValueSet1-31\">ValueSet</a></td><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/STU6.1/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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-allergyintolerance-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<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:\n<ul>\n<li>eLTSS Goal <strong>SHOULD</strong> be present in CarePlan.goal</li>\n<li>eLTSS or US Core Condition <strong>SHOULD</strong> be present in CarePlan.addresses</li>\n<li>Assement and Plan <strong>MAY</strong> be included as narrative text</li>\n</ul>\n</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-careplan-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-careplan-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-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/STU6.1/SearchParameter-us-core-careplan-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-status.html\">status</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-careplan-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careplan-date.html\">date</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=\"OperationDefinition-all-eltss-careplan.html\">$all-eltss-careplan</a></td><td><div><p>A server <strong>MAY</strong> be capable of responding to a $all-eltss-careplan operation and capable of returning a bundle that provides all eLTSS data for a given Patient’s identified CarePlan. Given a CarePlan with a specific Patient and ID, this operation will return all the referenced artifacts necessary to satisfy the eLTSS data element set found in the DAM. The Operation reduces the number of queries that a client must make.</p>\n<p>GET [base]/CarePlan/[id]/$all-eltss-careplan</p>\n</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/STU6.1/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>\n<ol>\n<li>US Core Practitioner Profile</li>\n<li>US Core PractitionerRole Profile</li>\n<li>US Core Patient Profile</li>\n<li>US Core RelatedPerson Profile</li>\n</ol>\n<ul>\n<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 (and <code>_include</code> search parameters), but <strong>SHALL</strong> support <em>at least</em> one of them.</li>\n<li>The client application <strong>SHALL</strong> support all four profile references.</li>\n<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>\n<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>\n</ul>\n</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>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careteam-role.html\">role</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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-careteam-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-careteam-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-careteam-role.html\">role</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=\"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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-encounter-diagnosis.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-problems-health-concerns.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns</a><br/><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>\n<li>For Encounter Diagnosis use the <em>US Core Condition Encounter Diagnosis Profile</em>.\n<ul>\n<li>When <code>Condition.category</code> is "encounter-diagnosis" the encounter, <strong>SHOULD</strong> be referenced in <code>Condition.encounter</code>.</li>\n</ul>\n</li>\n<li>For Problems and Health Concerns use the <em>eLTSSCondition Problems and Health Concerns Profile</em>.\n<ul>\n<li>When <code>Condition.category</code> is a "problems-list-item", the `Condition.clinicalStatus <strong>SHOULD NOT</strong> be unknown.</li>\n</ul>\n</li>\n<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>.\n<ul>\n<li>Although all three are marked as must support, the server is not required to support all.</li>\n<li>A server <strong>SHALL</strong> support <code>Condition.recordedDate</code>.</li>\n<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 3 locations.</li>\n<li>The client application <strong>SHALL</strong> support all three elements.</li>\n</ul>\n</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-asserted-date.html\">asserted-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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-recorded-date.html\">recorded-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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-abatement-date.html\">abatement-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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-recorded-date.html\">recorded-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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-asserted-date.html\">asserted-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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-abatement-date.html\">abatement-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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-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/STU6.1/SearchParameter-us-core-condition-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-condition-code.html\">code</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=\"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/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-coverage.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage</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/STU6.1/SearchParameter-us-core-coverage-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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=\"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/STU6.1/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>\n<li>\n<p>Implantable medical devices that have UDI information <strong>SHALL</strong> represent the UDI code in <code>Device.udiCarrier.carrierHRF</code>.</p>\n<ul>\n<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>\n</ul>\n<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>\n<p>manufacturer -> <code>Device.manufacturer</code><br/>\nmodel -> <code>Device.model</code></p>\n</li>\n<li>\n<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>\n</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-device-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-device-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-device-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/STU6.1/SearchParameter-us-core-device-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-device-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=\"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/STU6.1/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/STU6.1/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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</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/STU6.1/SearchParameter-us-core-diagnosticreport-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-diagnosticreport-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-category.html\">category</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/STU6.1/SearchParameter-us-core-diagnosticreport-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-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/STU6.1/SearchParameter-us-core-diagnosticreport-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-code.html\">code</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-date.html\">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-diagnosticreport-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=\"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/STU6.1/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>\n<li>The <code>DocumentReference.type</code> binding <strong>SHALL</strong> support at a minimum the <a href=\"https://hl7.org/fhir/us/core/STU6.1/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>\n<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>.\n<ul>\n<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>\n<li>The client application <strong>SHALL</strong> support both elements.</li>\n<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.\n<ul>\n<li>If the endpoint is outside the FHIR base URL, it <strong>SHOULD NOT</strong> require additional authorization to access.</li>\n</ul>\n</li>\n</ul>\n</li>\n<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>\n</ul>\n</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/STU6.1/SearchParameter-us-core-documentreference-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</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/STU6.1/SearchParameter-us-core-documentreference-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-documentreference-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-documentreference-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-documentreference-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-documentreference-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-documentreference-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-documentreference-type.html\">type</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/OperationDefinition-docref.html\">$docref</a></td><td><div><p>A server <strong>SHALL</strong> be capable of responding to a $docref operation and capable of returning at least a reference to a generated CCD document, if available. <strong>MAY</strong> provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD** provide references to any document that falls within the date range. If no date range is supplied, then the server <strong>SHALL</strong> provide references to last or current document(s). <strong>SHOULD</strong> document what resources, if any, are returned as included resources</p>\n<p><code>GET [base]/DocumentReference/$docref?patient=[id]</code></p>\n</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/STU6.1/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>\n<li>\n<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>\n<ul>\n<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>\n<li>The client application <strong>SHALL</strong> support both elements.</li>\n<li>if <code>Encounter.reasonReference</code> references an Observation, it <strong>SHOULD</strong> conform to a US Core or eLTSS Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)</li>\n</ul>\n</li>\n<li>\n<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>\n<ul>\n<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>\n<li>The client application <strong>SHALL</strong> support both elements.</li>\n<li>if using <code>Encounter.location.location</code> it <strong>SHOULD</strong> conform to eLTSSLocation.</li>\n</ul>\n</li>\n</ul>\n</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/STU6.1/SearchParameter-us-core-encounter-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-location.html\">location</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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-discharge-disposition.html\">discharge-disposition</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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-encounter-date.html\">date</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-encounter-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-encounter-class.html\">class</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-patient.html\">patient</a></td><td><code>token</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-encounter-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-location.html\">location</a></td><td><code>reference</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-encounter-discharge-disposition.html\">discharge-disposition</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=\"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>\n</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>\n<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>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-goal-description.html\">description</a></td><td><code>token</code></td><td><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/STU6.1/SearchParameter-us-core-goal-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-goal-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-goal-description.html\">description</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/STU6.1/SearchParameter-us-core-goal-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-goal-lifecycle-status.html\">lifecycle-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=\"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>\n</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/STU6.1/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>\n<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>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</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/STU6.1/SearchParameter-us-core-immunization-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-immunization-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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-12\"><span class=\"lead\">Documentation</span><blockquote><div><ul>\n<li>The US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li>\n</ul>\n</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/STU6.1/SearchParameter-us-core-location-name.html\">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-location-address.html\">address</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-location-address-city.html\">address-city</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-location-address-state.html\">address-state</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-location-address-postalcode.html\">address-postalcode</a></td><td><code>string</code></td><td><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>\n</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/STU6.1/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>\n<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>\n</ul>\n</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/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-medicationdispense.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><ul>\n<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>\n</ul>\n<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>\n<p><code>GET /MedicationDispense?patient=[id]</code></p>\n<p><code>GET /MedicationDispense?patient=[id]&_include=MedicationDispense:medication</code></p>\n</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/STU6.1/SearchParameter-us-core-medicationdispense-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationdispense-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationdispense-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-medicationdispense-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationdispense-status.html\">status</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationdispense-type.html\">type</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/STU6.1/SearchParameter-us-core-medicationdispense-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationdispense-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=\"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/STU6.1/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>\n<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>\n</ul>\n<p>For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both:</p>\n<p><code>GET /MedicationRequest?patient=[id]</code></p>\n<p><code>GET /MedicationRequest?patient=[id]&_include=MedicationRequest:medication</code></p>\n<ul>\n<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.\n<ul>\n<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>\n<li>The client application <strong>SHALL</strong> support both elements.</li>\n</ul>\n</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</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/STU6.1/SearchParameter-us-core-medicationrequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationrequest-intent.html\">intent</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-medicationrequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-medicationrequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationrequest-intent.html\">intent</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-medicationrequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-medicationrequest-intent.html\">intent</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/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/STU6.1/StructureDefinition-us-core-observation-pregnancystatus.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancystatus</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-pregnancyintent.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-pregnancyintent</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-occupation.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-occupation</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-respiratory-rate.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-simple-observation.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-heart-rate.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-heart-rate</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-temperature.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-temperature</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/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/STU6.1/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/STU6.1/StructureDefinition-us-core-observation-sexual-orientation.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-head-circumference.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-height.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-bmi.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-bmi</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-screening-assessment.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-blood-pressure.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-clinical-result.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-clinical-result</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/StructureDefinition-head-occipital-frontal-circumference-percentile.html\">http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-body-weight.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-weight</a><br/><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-vital-signs.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><ul>\n<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>\n<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\n<ul>\n<li>Systems that never provide an observation without a value are not required to support <code>Observation.dataAbsentReason</code></li>\n</ul>\n</li>\n<li>An <code>Observation.component</code> without a value, <strong>SHALL</strong> include a reason why the data is absent.\n<ul>\n<li>Systems that never provide an component observation without a component value are not required to support <code>Observation.component.dataAbsentReason</code>.</li>\n</ul>\n</li>\n<li>Systems <strong>SHOULD</strong> support <code>Observation.effectivePeriod</code> to accurately represent procedure tests that are collected over a period of time.</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-observation-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-observation-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-category.html\">category</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/STU6.1/SearchParameter-us-core-observation-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-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/STU6.1/SearchParameter-us-core-observation-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-code.html\">code</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-date.html\">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-observation-status.html\">status</a></td><td><code>reference</code>+<code>token</code>+<code>token</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/STU6.1/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>\n<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>\n</ul>\n</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/STU6.1/SearchParameter-us-core-organization-name.html\">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-organization-address.html\">address</a></td><td><code>string</code></td><td><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>\n<li>\n<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>\n<ol>\n<li>contact detail (e.g. a telephone number or an email address)</li>\n<li>a communication language</li>\n<li>a race</li>\n<li>an ethnicity</li>\n<li>a birth sex*</li>\n<li>previous name\n<ul>\n<li>Previous name is represented by providing an end date in the <code>Patient.name.period</code> element for a previous name.</li>\n</ul>\n</li>\n<li>suffix\n<ul>\n<li>Suffix is represented using the <code>Patient.name.suffix</code> element.</li>\n</ul>\n</li>\n</ol>\n</li>\n<li>\n<p>The Patient's Social Security Numbers <strong>SHOULD NOT</strong> be used as a patient identifier in <code>Patient.identifier.value</code>.</p>\n</li>\n</ul>\n</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/STU6.1/SearchParameter-us-core-patient-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-name.html\">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-death-date.html\">death-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>\n<p>A server <strong>SHALL</strong> support a value a value precise to the <em>day</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-given.html\">given</a></td><td><code>string</code></td><td><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/STU6.1/SearchParameter-us-core-patient-birthdate.html\">birthdate</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-name.html\">name</a></td><td><code>date</code>+<code>string</code></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-gender.html\">gender</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-name.html\">name</a></td><td><code>token</code>+<code>string</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-birthdate.html\">birthdate</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-family.html\">family</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/STU6.1/SearchParameter-us-core-patient-family.html\">family</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-patient-death-date.html\">death-date</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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 eLTSSPractitioner Profile <strong>SHALL</strong> provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.</p>\n</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/STU6.1/SearchParameter-us-core-practitioner-name.html\">name</a></td><td><code>string</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-practitioner-id.html\">_id</a></td><td><code>token</code></td><td><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>\n<li>The US Core Location and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/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>\n<li>Procedure codes can be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT. LOINC.\n<ul>\n<li>Only LOINC concepts that reflect actual procedures <strong>SHOULD</strong> be used</li>\n</ul>\n</li>\n<li>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>.</li>\n</ul>\n</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/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-procedure-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/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/STU6.1/SearchParameter-us-core-procedure-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-procedure-code.html\">code</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-procedure-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/STU6.1/SearchParameter-us-core-procedure-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-procedure-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=\"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/STU6.1/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>\n<li>The US Core Provenance resource <strong>SHALL</strong> be supported for these US Core resources:\n<ul>\n<li>AllergyIntolerance</li>\n<li>CarePlan</li>\n<li>CareTeam</li>\n<li>Condition</li>\n<li>Coverage</li>\n<li>Device</li>\n<li>DiagnosticReport</li>\n<li>DocumentReference</li>\n<li>Encounter</li>\n<li>Goal</li>\n<li>Immunization</li>\n<li>MedicationDispense</li>\n<li>MedicationRequest</li>\n<li>Observation</li>\n<li>Patient</li>\n<li>Procedure</li>\n<li>QuestionnaireResponse</li>\n<li>RelatedPerson</li>\n<li>ServiceRequest</li>\n</ul>\n</li>\n<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>\n<li>Systems that need to know the activity has occurred <strong>SHOULD</strong> populate the activity.</li>\n</ul>\n</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>\n<ul>\n<li>Observation: US Core Observation Screening Assessment Profile</li>\n<li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li>\n</ul>\n<p>eLTSS/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, the eLTSS Questionnaire Profile and the eLTSS QuestionnaireResponse Profile</p>\n</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>\n<ul>\n<li>Observation: US Core Observation Screening Assessment Profile</li>\n<li>Questionnaire/QuestionnaireResponse: SDC Base Questionnaire/US Core QuestionnaireResponse Profile</li>\n</ul>\n<p>eLTSS/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 , the eLTSS Questionnaire Profile and the eLTSS QuestionnaireResponse Profile</p>\n</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/STU6.1/SearchParameter-us-core-questionnaireresponse-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-authored.html\">authored</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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-questionnaire.html\">questionnaire</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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</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/STU6.1/SearchParameter-us-core-questionnaireresponse-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-questionnaire.html\">questionnaire</a></td><td><code>reference</code>+<code>reference</code></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-authored.html\">authored</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/STU6.1/SearchParameter-us-core-questionnaireresponse-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-questionnaireresponse-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=\"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><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-relatedperson-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-relatedperson-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-relatedperson-name.html\">name</a></td><td><code>string</code></td><td><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/STU6.1/SearchParameter-us-core-relatedperson-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-relatedperson-name.html\">name</a></td><td><code>reference</code>+<code>string</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-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/STU6.1/SearchParameter-us-core-servicerequest-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-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>\n<p>The server <strong>SHALL</strong> support both.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-authored.html\">authored</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>\n<p>A server <strong>SHALL</strong> support a value precise to the <em>second + time offset</em>.</p>\n</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/STU6.1/SearchParameter-us-core-servicerequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-category.html\">category</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-authored.html\">authored</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/STU6.1/SearchParameter-us-core-servicerequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-category.html\">category</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/STU6.1/SearchParameter-us-core-servicerequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-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/STU6.1/SearchParameter-us-core-servicerequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-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/STU6.1/SearchParameter-us-core-servicerequest-patient.html\">patient</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-code.html\">code</a>+<a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-servicerequest-authored.html\">authored</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=\"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/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-specimen.html\">http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen</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/STU6.1/SearchParameter-us-core-specimen-id.html\">_id</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/us/core/STU6.1/SearchParameter-us-core-specimen-patient.html\">patient</a></td><td><code>reference</code></td><td><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=\"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>If a server supports DocumentReference for creating, using, and sharing clinical notes, it <strong>SHOULD</strong> also support the <code>context</code> and <code>contextdirection</code> parameters of the $expand operation to enable clients to determine the supported note and report types, as well as the supported read/write formats for notes on the server.</p>\n</div></td></tr></tbody></table></div></div></div></div></div></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "hsswg"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server",
"version" : "2.0.0",
"name" : "ELTSSSERVERCAPABILITYSTATEMENT",
"title" : "eLTSS Server Capability Statement",
"status" : "active",
"experimental" : false,
"date" : "2023-11-20T00:35:01.173356-08:00",
"publisher" : "HL7 International / Human and Social Services",
"contact" : [
{
"name" : "HL7 International / Human and Social Services",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/hsswg"
},
{
"system" : "email",
"value" : "hhswg@lists.HL7.org"
}
]
}
],
"description" : "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 eLTSS/US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by eLTSS/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 the ONC [U.S. Core Data for Interoperability (USCDI) Version 3 July 2022](https://www.healthit.gov/isa/sites/isa/files/2022-07/USCDI-Version-3-July-2022-Final.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" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
"kind" : "requirements",
"instantiates" : [
"http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server"
],
"_instantiates" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"imports" : [
"http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server|6.1"
],
"_imports" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"fhirVersion" : "4.0.1",
"format" : [
"json",
"xml"
],
"_format" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
]
}
],
"patchFormat" : [
"application/json-patch+json"
],
"_patchFormat" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
]
}
],
"implementationGuide" : [
"http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch|2.2.0",
"http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1",
null
],
"_implementationGuide" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"rest" : [
{
"mode" : "server",
"documentation" : "The eLTSS/US Core Server **SHALL**:\n\n1. Support the eLTSS Patient resource profile AND at least one additional resource profile from the list of eLTSS/US Core Profiles AND all Must Support eLTSS/US Core Profiles and resources it references.\n - The tables below summarizes the Must Support references to other eLTSS/US Core Profiles and FHIR resources for each eLTSS/US Core Profile:\n1. Implement the RESTful behavior according to the FHIR specification.\n1. Follow the requirements documented in the [General Requirements](https://hl7.org/fhir/us/core/STU6.1/general-requirements.html) and [Must Support](https://hl7.org/fhir/us/core/STU6.1/must-support.html) pages\n1. Return the following response classes:\n - (Status 400): invalid parameter\n - (Status 401/4xx): unauthorized request\n - (Status 403): insufficient scopes\n - (Status 404): unknown resource\n1. Support JSON source formats for all eLTSS/US Core interactions.\n\nThe eLTSS/US Core Server **SHOULD**:\n\n1. Follow the guidance documented in the [General Guidance](https://hl7.org/fhir/us/core/STU6.1/general-guidance.html) page\n1. Support XML source formats for all eLTSS/US Core interactions.\n1. Identify the eLTSS/US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.\n",
"security" : {
"description" : "1. See the [General Security Considerations](http://hl7.org/fhir/us/core/STU6.1/security.html) section for requirements and recommendations.\n1. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` \"Unauthorized\", `HTTP 403` \"Forbidden\", or `HTTP 404` \"Not Found\""
},
"resource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
},
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "clinical-status"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
}
],
"type" : "AllergyIntolerance",
"supportedProfile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
],
"_supportedProfile" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "create"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"code" : "search-type"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "vread"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "update"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "patch"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "delete"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
],
"code" : "history-instance"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "history-type"
}
],
"referencePolicy" : [
"resolves"
],
"_referencePolicy" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
}
]
}
],
"searchRevInclude" : [
"Provenance:target"
],
"_searchRevInclude" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"searchParam" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "clinical-status",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status",
"type" : "token",
"documentation" : "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\nThe server **SHALL** support both."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"name" : "patient",
"definition" : "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient",
"type" : "reference",
"documentation" : "The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.\n\nThe server **SHALL** support both."
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
},
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "category"
},
{
"url" : "required",
"valueString" : "status"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
},
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "category"
},
{
"url" : "required",
"valueString" : "status"
},
{
"url" : "required",
"valueString" : "date"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
},
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "category"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHOULD"
},
{
"url" : "required",
"valueString" : "patient"
},
{
"url" : "required",
"valueString" : "category"
},
{
"url" : "required",
"valueString" : "date"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
}
],
"type" : "CarePlan",
"supportedProfile" : [
"http://hl7.org/fhir/us/eltss/StructureDefinition/CarePlan-eltss"
],
"_supportedProfile" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
]
}
],
"documentation" : "* Additional considerations for systems aligning with [HL7 Consolidated (C-CDA)](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements:\n - eLTSS Goal **SHOULD** be present in CarePlan.goal\n - eLTSS or US Core Condition **SHOULD** be present in CarePlan.addresses\n - Assement and Plan **MAY** be included as narrative text",
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "create"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"code" : "search-type"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"code" : "read"
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"documentation" : "If a server supports DocumentReference for creating, using, and sharing clinical notes, it **SHOULD** also support the `context` and `contextdirection` parameters of the $expand operation to enable clients to determine the supported note and report types, as well as the supported read/write formats for notes on the server."
}
]
}
],
"interaction" : [
{
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{
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"valueCode" : "MAY"
}
],
"code" : "transaction"
},
{
"extension" : [
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}
],
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},
{
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],
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]
}
]
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.