FHIR IG Statistics: CapabilityStatement/us-core-client

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  "id": "us-core-client",
  "text": {
    "status": "additional",
    "div": "<!-- snip (see above) -->"
  },
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      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
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  "url": "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client",
  "version": "8.0.0",
  "name": "UsCoreClientCapabilityStatement",
  "title": "US Core Client CapabilityStatement",
  "status": "active",
  "experimental": false,
  "date": "2025-05-28T12:25:37.725385-08:00",
  "publisher": "HL7 International / Cross-Group Projects",
  "contact": [
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          "value": "http://www.hl7.org/Special/committees/cgp"
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          "system": "email",
          "value": "cgp@lists.HL7.org"
        }
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    }
  ],
  "description": "This Section describes the expected capabilities of the US Core Client which is responsible for creating and initiating the queries for information about an individual patient. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined in the [Conformance Requirements for Server](CapabilityStatement-us-core-server.html). 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.",
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    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "kind": "requirements",
  "fhirVersion": "4.0.1",
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          ],
          "type": "CarePlan",
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              "name": "date",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date",
              "type": "date",
              "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\nA server **SHALL** support a value precise to the *second + time offset*."
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              ],
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            }
          ],
          "type": "CareTeam",
          "supportedProfile": [
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          ],
          "documentation": "* 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:\n  1. US Core Practitioner Profile\n  1. US Core PractitionerRole Profile\n  1. US Core Patient Profile\n  1. US Core RelatedPerson Profile\n* 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, but **SHALL** support *at least* one of them.\n* The client application **SHALL** support all four profile references.\n* 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*.\n* Servers that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL** provide implementation specific guidance how to access a provider’s location and contact information using only the Practitioner resource.",
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                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "code"
                },
                {
                  "url": "required",
                  "valueString": "date"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "DiagnosticReport",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note|8.0.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|8.0.0"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* For laboratory result reports use the *US Core DiagnosticReport Profile for Laboratory Results Reporting Profile*.\n  * Updates to `.meta.lastUpdated` **SHOULD** reflect:\n    * New laboratory reports\n    * Changes in the status of laboratory reports including events that trigger the same status (e.g., amended → amended).\n* For imaging and non-laboratory clinical test result reports use the *US Core DiagnosticReport Profile for Report and Note Exchange Profile*.\n  * Diagnostic imaging results in visual images requiring interpretation and clinical test results/reports may also reference images as part of the report. There is no single approach for accessing imaging studies alongside clinical data using a single authorization flow to give patients and providers access to the images.\n     * The `DiagnosticReport.media.link` element **SHOULD** be used to support links to various patient-friendly content, such as jpg images of x-rays (see the DiagnosticReport Chest X-ray Report Example).\n     * The `DiagnosticReport.imagingStudy` element **SHOULD** be used to support exchange with systems that can view DICOM (Digital Imaging and Communications in Medicine) studies, series, and SOP (Service-Object Pair) instances referenced in the [ImagingStudy] resource.\n     * Alternatively, systems can use business identifiers such as accession numbers in the `identifier` element to access the source images from external sources.\n* The `DiagnosticRequest.basedOn` element connects the DiagnosticReport to the originating order in the EHR. Systems that initiate the lab order **SHOULD** use this element when reporting the results.",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "create",
              "documentation": "This conformance expectation applies **only**  to the *US Core DiagnosticReport Profile for Report and Note exchange* profile.  The conformance expectation for the *US Core DiagnosticReport Profile for Laboratory Results Reporting* is  **MAY**."
            },
            {
              "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"
            }
          ],
          "searchRevInclude": [
            "Provenance:target"
          ],
          "_searchRevInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "category",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-category",
              "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": "MAY"
                }
              ],
              "name": "code",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-code",
              "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": "MAY"
                }
              ],
              "name": "date",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-date",
              "type": "date",
              "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\nA server **SHALL** support a value precise to the *second + time offset*."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "_lastUpdated",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-lastupdated",
              "type": "date",
              "documentation": "A server **SHALL** document the types of changes that can be detected using this parameter.\n\nA client **SHALL** provide a value precise to the *second + time offset*.\n\nA server **SHALL** support a value precise to the *second + time offset*."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-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": "MAY"
                }
              ],
              "name": "status",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-diagnosticreport-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": "SHOULD"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "status"
                }
              ],
              "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": "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": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "type"
                },
                {
                  "url": "required",
                  "valueString": "period"
                }
              ],
              "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": "type"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "DocumentReference",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|8.0.0",
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference|8.0.0"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* For Advance Directive Information (ADI) documents use the *US Core ADI DocumentReference Profile*.\n* For other clinical documents use the *US Core DiagnosticReport Profile for Report and Note Exchange*.\n  * See the [Clinical Notes](clinical-notes.html) page for important definitions, requirements, and guidance on creating, using, and sharing Clinical Notes.\n  * The `DocumentReference.type` binding Must Support at a minimum the [10 Common Clinical Notes](ValueSet-us-core-clinical-note-type.html) and may extend to the full US Core DocumentReference Type Value Set\n* The DocumentReference resources can represent the referenced content using either an address where the document can be retrieved using `DocumentReference.attachment.url` or the content as inline base64 encoded data using `DocumentReference.attachment.data`.\n    *  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.\n    *  The client application **SHALL** support both elements.\n    *  The `content.attachment.url` may refer to a FHIR Binary Resource (i.e. [base]/Binary/[id]), FHIR Document Bundle (i.e [base]/Bundle/[id] or another endpoint.\n   * If there are multiple `DocumentReference.content` element repetitions, these **SHALL** all represent the same document in different format or attachment metadata. The content element **SHALL NOT** contain different versions of the same content. For version handling use multiple DocumentReferences with `DocumentReference.relatesTo`\n* Every DocumentReference must have a responsible Organization. The organization responsible for the DocumentReference **SHALL** be present either in `DocumentReference.custodian` or accessible in the Provenance resource targeting the DocumentReference using `Provenance.agent.who` or `Provenance.agent.onBehalfOf`.",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "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"
            }
          ],
          "searchRevInclude": [
            "Provenance:target"
          ],
          "_searchRevInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "_id",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id",
              "type": "token"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "category",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-category",
              "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": "MAY"
                }
              ],
              "name": "date",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-date",
              "type": "date",
              "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\nA server **SHALL** support a value precise to the *second + time offset*."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-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": "MAY"
                }
              ],
              "name": "period",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-period",
              "type": "date",
              "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\nA server **SHALL** support a value precise to the *second + time offset*."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "status",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-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": "MAY"
                }
              ],
              "name": "type",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-type",
              "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."
            }
          ],
          "operation": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "name": "docref",
              "definition": "http://hl7.org/fhir/us/core/OperationDefinition/docref",
              "documentation": "A client **SHOULD** be capable of transacting a $docref operation and capable of receiving at least a reference to a generated CCD document, and  **MAY** be able to receive other document types, if available.   **SHOULD**  be capable of receiving documents as included resources in response to the operation.\n\n`GET [base]/DocumentReference/$docref?patient=[id]`"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHOULD"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "date"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                }
              ],
              "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": "_lastUpdated"
                }
              ],
              "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": "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": "type"
                }
              ],
              "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": "location"
                }
              ],
              "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": "discharge-disposition"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "class"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "Encounter",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|8.0.0"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* The Encounter resource can represent a reason using either a code with `Encounter.reasonCode`, or a reference with `Encounter.reasonReference` to  Condition or other resource.\n   * 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.\n   * The client application **SHALL** support both elements.\n   * if `Encounter.reasonReference` references an Observation, it **SHOULD** conform to a US Core Observation if applicable. (for example, a laboratory result should conform to the US Core Laboratory Result Observation Profile)\n\n* The location address can be represented by either by the Location referenced by `Encounter.location.location` or indirectly through the Organization referenced by `Encounter.serviceProvider`.\n   * Although both are marked as must support, the server systems are not required to support both `Encounter.location.location` and `Encounter.serviceProvider`, but they **SHALL** support *at least one* of these elements.\n   * The client application **SHALL** support both elements.\n* If the event facility/location differs from the `Encounter.location`, systems **SHOULD** reference it directly:\n* Servers can use the US Core Interpreter Needed Extension on this profile or the [US Core Patient Profile] to communicate whether a patient needs an interpreter. Although the extension is marked as an *Additional USCDI Requirements* on both US Core Patient and US Core Encounter Profiles, the certifying Server system is not required to support the extension on both profiles, but **SHALL** support the extension on at least one. The certifying Client application **SHALL** support the extension on both profiles.\n  - Systems **SHOULD** designate the patient's preferred language in the `Patient.communication.preferred` element.\n* Updates to `.meta.lastUpdated` **SHOULD** reflect:\n  - New encounters/visits\n  - Changes in the status of encounters, including events that trigger the same status (e.g., in-progress → in-progress). These status changes correspond to events that can initiate [HL7 V2] ADT messages.",
          "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": [
                {
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              ],
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          ],
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              "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": "SHOULD"
            }
          ],
          "type": "Specimen",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|8.0.0"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* Although both `Specimen.identifier` and `Specimen.accessionIdentifier` are 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.",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "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"
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "_id",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-id",
              "type": "token"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-patient",
              "type": "reference"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHOULD"
            }
          ],
          "type": "ValueSet",
          "operation": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "name": "expand",
              "definition": "http://hl7.org/fhir/OperationDefinition/ValueSet-expand",
              "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": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "MAY"
            }
          ],
          "code": "transaction"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "MAY"
            }
          ],
          "code": "batch"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "MAY"
            }
          ],
          "code": "search-system"
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "MAY"
            }
          ],
          "code": "history-system"
        }
      ]
    }
  ]
}