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{
  "resourceType": "CapabilityStatement",
  "id": "us-quality-core-client",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://fhir.org/guides/astp/us-quality-core/CapabilityStatement/us-quality-core-client",
  "version": "0.1.0",
  "name": "USQualityCoreClientCapabilityStatement",
  "title": "US Quality Core Client CapabilityStatement",
  "status": "active",
  "experimental": false,
  "date": "2026-03-31",
  "publisher": "ASTP",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.healthit.gov/"
        }
      ]
    }
  ],
  "description": "This capability statement describes the expected capabilities of the US Quality\nCore Client which is responsible for initiating queries for USCDI+\nQuality V1 data from US Quality Core Servers.  The set of FHIR RESTful\noperations and search parameters required to be supported by US Quality Core\nServers is provided in the [US Quality Core Server Capability\nStatement](CapabilityStatement-us-quality-core-server.html).  US Quality Core\nClients have the option of choosing from this list to access necessary data\nbased on their local use cases and other contextual requirements.\n",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ],
      "text": "USA"
    }
  ],
  "kind": "requirements",
  "fhirVersion": "4.0.1",
  "format": [
    "json"
  ],
  "implementationGuide": [
    "http://fhir.org/guides/astp/us-quality-core"
  ],
  "rest": [
    {
      "mode": "client",
      "documentation": "The US Quality Core Client SHALL:\n\n1. Support fetching and querying US Quality Core profiles that contain at least one USCDI+ Quality flagged element, using the supported RESTful interactions and search parameters declared in the US Quality Core Server CapabilityStatement\n2. Recognize and process all MustSupport and USCDI+ Quality flagged elements in US Quality Core\n3. Treat all modifying attributes as MustSupport, even if not explicitly declared\n4. SHALL NOT process resource instances that include unknown modifying attributes\n5. Be simultaneously conformant with US Quality Core profiles and US Core profiles. As such, the more restrictive bindings between US Core and US Quality Core SHALL be adhered to. For example, all value sets that are required in US Core SHALL be required by US Quality Core, regardless of the binding strength in US Quality Core.\n\nNOTE: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations, such as comparator expectations, and to support generation tooling.  They SHALL NOT be interpreted as search parameters for searching. Servers and Clients SHOULD use the standard FHIR SearchParameters.\n",
      "resource": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "subject"
                },
                {
                  "url": "required",
                  "valueString": "event"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "subject"
                },
                {
                  "url": "required",
                  "valueString": "recordedDate"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "AdverseEvent",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-adverseevent"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "subject",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-adverseevent-subject",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "event",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-adverseevent-event",
              "type": "token",
              "documentation": "The client **MAY** provide a code value."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "recordedDate",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-adverseevent-recordedDate",
              "type": "date",
              "documentation": "The client **MAY** provide a date value."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "AllergyIntolerance",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-allergyintolerance"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-allergyintolerance-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "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"
            }
          ],
          "type": "CarePlan",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careplan"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-careplan-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "category",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-careplan-category",
              "type": "token",
              "documentation": "The client **MAY** provide a code value."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "status"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "CareTeam",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-careteam"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-careteam-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "status",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-careteam-status",
              "type": "token",
              "documentation": "The client **MAY** provide a code value."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "Claim",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-claim"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-claim-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            }
          ]
        },
        {
          "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": "abatement-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": "code"
                }
              ],
              "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": "onset-date"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "Condition",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis",
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-condition-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "category",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-condition-category",
              "type": "token",
              "documentation": "The client **MAY** provide a category."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "code",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-condition-code",
              "type": "token",
              "documentation": "The client **MAY** provide a code value."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "onset-date",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-condition-onset-date",
              "type": "date",
              "documentation": "The client **MAY** provide a date value."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "abatement-date",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-condition-abatement-date",
              "type": "date",
              "documentation": "The client **MAY** provide a date value."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "Coverage",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-coverage"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-coverage-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "code"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "DeviceRequest",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-devicerequest",
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-devicenotrequested"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-devicerequest-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide an id value for the reference."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "code",
              "definition": "http://fhir.org/guides/astp/us-quality-core/SearchParameter/us-quality-core-devicerequest-code",
              "type": "token",
              "documentation": "The client **MAY** provide a code value."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "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": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
                },
                {
                  "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": "code"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "DiagnosticReport",
          "supportedProfile": [
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-note",
            "http://fhir.org/guides/astp/us-quality-core/StructureDefinition/us-quality-core-diagnosticreport-lab"
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
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