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FHIR IG Statistics: CapabilityStatement/davinci-pct

Packagehl7.fhir.us.davinci-pct
TypeCapabilityStatement
Iddavinci-pct
FHIR VersionR4
Sourcehttp://hl7.org/fhir/us/davinci-pct/https://build.fhir.org/ig/HL7/davinci-pct/CapabilityStatement-davinci-pct.html
URLhttp://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct
Version2.0.0-draft
Statusactive
Date2023-03-28T14:21:32-05:00
NamePatientCostTransparencyCapabilityStatement
TitlePatient Cost Transparency Implementation Guide Payer Capability Statement
Realmus
Authorityhl7
DescriptionPayer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide
CopyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
Kindrequirements

Resources that use this resource

No resources found

Resources that this resource uses

CapabilityStatement
us-core-serverUS Core Server CapabilityStatement
OperationDefinition
GFE-submitSubmit a GFE resource for the creation of an AEOB
SearchParameter
packet-linking-identifierPacketLinkingIdentifier
packet-PlannedPeriodOfServicePacketPlannedPeriodOfService
packet-conditionPacketCondition
packet-procedure-or-servicePacketProcedureOrService
packet-request-initiation-timePacketRequestInitiationTime
StructureDefinition
davinci-pct-aeob-packetPCT AEOB Packet
davinci-pct-aeobPCT Advanced EOB
davinci-pct-coveragePCT Coverage
davinci-pct-gfe-bundlePCT GFE Bundle
davinci-pct-gfe-institutionalPCT Good Faith Estimate Institutional
davinci-pct-gfe-packetPCT GFE Packet
davinci-pct-gfe-professionalPCT Good Faith Estimate Professional
davinci-pct-organizationPCT Organization
davinci-pct-practitionerPCT Practitioner

Narrative

Note: links and images are rebased to the (stated) source

Patient Cost Transparency Implementation Guide Payer Capability Statement

  • Title:Patient Cost Transparency Implementation Guide Payer Capability Statement
  • Implementation Guide Version: 2.0.0-draft
  • FHIR Version: 4.0.1
  • Intended Use: Requirements
  • Supported Formats: SHALL support json; SHOULD support xml;
  • Published: 2023-03-28 14:21:32-0500
  • Published by: HL7 International / Financial Management
  • Status: Active
  • Copyright:

    Used by permission of HL7 International, all rights reserved Creative Commons License


Description:

Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide


Support and Requirements for Other Artifacts

Imports other capabilities:

Jump to:


FHIR Server RESTful Capabilities

System-wide Server Capabilities

Summary of Resource/Profile Capabilities

♦ = SHALL expectation; ⋄ = SHOULD expectation; ▿ = MAY expectation;

Resource Type Supported Interactions Supported Profiles Supported Searches Supported _includes Supported _revincludes Supported Operations
Bundle create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT AEOB Packet, PCT GFE Bundle, PCT GFE Packet, estimate-initiation-time♦, estimate-service♦, estimate-condition♦, linking-identifier♦, planned-period♦, $GFESubmit♦
ExplanationOfBenefit create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT Advanced EOB♦,
Coverage create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT Coverage♦,
Claim create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT Good Faith Estimate Professional, PCT Good Faith Estimate Institutional,
Organization create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT Organization♦,
Practitioner create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, PCT Practitioner♦,

RESTful Server Capabilities by Resource/Profile:

Bundle

Conformance Expectation:

Supported Profiles:

Bundle Interaction Summary:

  • SHALL support search-type, read,
  • MAY support create, vread, update, patch, delete, history-instance, history-type,

Modify Criteria:

  • A Server MAY be capable of a create interaction creating a Bundle resource using: POST [base]/Bundle/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing Bundle resource using: PUT [base]/Bundle/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing Bundle resource using: PATCH [base]/Bundle/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a Bundle resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning Bundle resources matching a search query using: GET [base]/Bundle/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a Bundle resource using: GET [base]/Bundle/[id]
  • A Server MAY be capable of a vread interaction returning a Bundle resource using: GET [base]/Bundle/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a Bundle using: GET [base]/Bundle/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of Bundle resources using: GET [base]/Bundle/_history{?[parameters]&_format=[mime-type]}

Search Parameter Summary:

Conformance Parameter Type Example
SHALL estimate-initiation-time Date/DateTime GET [base]/Bundle?estimate-initiation-time=[dateTime]
SHALL estimate-service Token GET [base]/Bundle?estimate-service=[system]|[code]
SHALL estimate-condition Token GET [base]/Bundle?estimate-condition=[system]|[code]
SHALL linking-identifier Token GET [base]/Bundle?linking-identifier=[system]|[code]
SHALL planned-period Date/DateTime GET [base]/Bundle?planned-period=[dateTime]

Search Parameter Requirements (When Used Alone or in Combination):

  • estimate-initiation-time (Date/DateTime):

    Instant from which the request originating request was being initiated.

  • estimate-service (Token):

    Significant Procedures and/or products involved in an estimate in the packet.

  • estimate-condition (Token):

    Significant condition involved in an estimate in the packet.

  • linking-identifier (Token):

    An identifier assigned to a particular service or series of services to enabling linking.

  • planned-period (Date/DateTime):

    Planned date(s) of a particular admission/service or a series of admissions/services.

ExplanationOfBenefit

Conformance Expectation:

Supported Profiles:


Modify Criteria:

  • A Server MAY be capable of a create interaction creating a ExplanationOfBenefit resource using: POST [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing ExplanationOfBenefit resource using: PUT [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing ExplanationOfBenefit resource using: PATCH [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a ExplanationOfBenefit resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning ExplanationOfBenefit resources matching a search query using: GET [base]/ExplanationOfBenefit/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a ExplanationOfBenefit resource using: GET [base]/ExplanationOfBenefit/[id]
  • A Server MAY be capable of a vread interaction returning a ExplanationOfBenefit resource using: GET [base]/ExplanationOfBenefit/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a ExplanationOfBenefit using: GET [base]/ExplanationOfBenefit/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of ExplanationOfBenefit resources using: GET [base]/ExplanationOfBenefit/_history{?[parameters]&_format=[mime-type]}

Coverage

Conformance Expectation:

Supported Profiles:


Modify Criteria:

  • A Server MAY be capable of a create interaction creating a Coverage resource using: POST [base]/Coverage/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing Coverage resource using: PUT [base]/Coverage/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing Coverage resource using: PATCH [base]/Coverage/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a Coverage resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning Coverage resources matching a search query using: GET [base]/Coverage/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a Coverage resource using: GET [base]/Coverage/[id]
  • A Server MAY be capable of a vread interaction returning a Coverage resource using: GET [base]/Coverage/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a Coverage using: GET [base]/Coverage/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of Coverage resources using: GET [base]/Coverage/_history{?[parameters]&_format=[mime-type]}

Claim

Conformance Expectation:

Supported Profiles:


Modify Criteria:

  • A Server MAY be capable of a create interaction creating a Claim resource using: POST [base]/Claim/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing Claim resource using: PUT [base]/Claim/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing Claim resource using: PATCH [base]/Claim/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a Claim resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning Claim resources matching a search query using: GET [base]/Claim/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a Claim resource using: GET [base]/Claim/[id]
  • A Server MAY be capable of a vread interaction returning a Claim resource using: GET [base]/Claim/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a Claim using: GET [base]/Claim/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of Claim resources using: GET [base]/Claim/_history{?[parameters]&_format=[mime-type]}

Organization

Conformance Expectation:

Supported Profiles:


Modify Criteria:

  • A Server MAY be capable of a create interaction creating a Organization resource using: POST [base]/Organization/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing Organization resource using: PUT [base]/Organization/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing Organization resource using: PATCH [base]/Organization/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a Organization resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning Organization resources matching a search query using: GET [base]/Organization/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a Organization resource using: GET [base]/Organization/[id]
  • A Server MAY be capable of a vread interaction returning a Organization resource using: GET [base]/Organization/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a Organization using: GET [base]/Organization/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of Organization resources using: GET [base]/Organization/_history{?[parameters]&_format=[mime-type]}

Practitioner

Conformance Expectation:

Supported Profiles:


Modify Criteria:

  • A Server MAY be capable of a create interaction creating a Practitioner resource using: POST [base]/Practitioner/[id]{?_format=[mime-type]}
  • A Server MAY be capable of updating a existing Practitioner resource using: PUT [base]/Practitioner/[id]{?_format=[mime-type]}
  • A Server MAY be capable of patching an existing Practitioner resource using: PATCH [base]/Practitioner/[id]{?_format=[mime-type]}
  • A Server MAY be capable of deleting a Practitioner resource using: DELETE [base]//[id]

Fetch and Search Criteria:

  • A Server SHALL be capable of a search-type interaction returning Practitioner resources matching a search query using: GET [base]/Practitioner/[id]{?[parameters]{&_format=[mime-type]}}
  • A Server SHALL be capable of a read interaction returning a Practitioner resource using: GET [base]/Practitioner/[id]
  • A Server MAY be capable of a vread interaction returning a Practitioner resource using: GET [base]/Practitioner/[id]/_history/vid
  • A Server MAY be capable of a history-instance interaction returning a history of a Practitioner using: GET [base]/Practitioner/[id]/_history{?[parameters]&_format=[mime-type]}
  • A Server MAY be capable of a history-type interaction returning the history of Practitioner resources using: GET [base]/Practitioner/_history{?[parameters]&_format=[mime-type]}

Source

{
  "resourceType": "CapabilityStatement",
  "id": "davinci-pct",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2023-03-28T19:21:32.176+00:00"
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fm"
    },
    {
      "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/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct",
  "version": "2.0.0-draft",
  "name": "PatientCostTransparencyCapabilityStatement",
  "title": "Patient Cost Transparency Implementation Guide Payer Capability Statement",
  "status": "active",
  "date": "2023-03-28T14:21:32-05:00",
  "publisher": "HL7 International / Financial Management",
  "contact": [
    {
      "name": "HL7 International / Financial Management",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system": "email",
          "value": "fmlists@lists.hl7.org"
        }
      ]
    }
  ],
  "description": "Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide",
  "jurisdiction": [
    {
      "coding": [
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          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "kind": "requirements",
  "imports": [
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  "fhirVersion": "4.0.1",
  "format": [
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  "rest": [
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          },
          "supportedProfile": [
            "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-packet",
            "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle",
            "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet"
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          "_supportedProfile": [
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                  "valueCode": "SHOULD"
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          "interaction": [
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              "extension": [
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              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ],
              "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": "MAY"
                }
              ],
              "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": "MAY"
                }
              ],
              "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": "estimate-initiation-time",
              "definition": "http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-request-initiation-time",
              "type": "date",
              "documentation": "Instant from which the request originating request was being initiated."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "estimate-service",
              "definition": "http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-procedure-or-service",
              "type": "token",
              "documentation": "Significant Procedures and/or products involved in an estimate in the packet."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "estimate-condition",
              "definition": "http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-condition",
              "type": "token",
              "documentation": "Significant condition involved in an estimate in the packet."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "linking-identifier",
              "definition": "http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-linking-identifier",
              "type": "token",
              "documentation": "An identifier assigned to a particular service or series of services to enabling linking."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "planned-period",
              "definition": "http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-PlannedPeriodOfService",
              "type": "date",
              "documentation": "Planned date(s) of a particular admission/service or a series of admissions/services."
            }
          ],
          "operation": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "GFESubmit",
              "definition": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit",
              "documentation": "This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The only output is a url for subsequent polling per [async pattern](https://hl7.org/fhir/R5/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient."
            }
          ]
        },
        {
          "type": "ExplanationOfBenefit",
          "_type": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                "valueCode": "SHOULD"
              }
            ]
          },
          "supportedProfile": [
            "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob"
          ],
          "_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": "MAY"
                }
              ],
              "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": "MAY"
                }
              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "history-type"
            }
          ]
        },
        {
          "type": "Coverage",
          "_type": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                "valueCode": "SHOULD"
              }
            ]
          },
          "supportedProfile": [
            "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage"
          ],
          "_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"
            },
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