FHIR IG Statistics: CapabilityStatement/eltss-server

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{
  "resourceType": "CapabilityStatement",
  "id": "eltss-server",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "hsswg"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/eltss/ImplementationGuide/hl7.fhir.us.eltss"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server",
  "version": "2.0.0",
  "name": "ELTSSSERVERCAPABILITYSTATEMENT",
  "title": "eLTSS Server Capability Statement",
  "status": "active",
  "experimental": false,
  "date": "2023-11-20T00:35:01.173356-08:00",
  "publisher": "HL7 International / Human and Social Services",
  "contact": [
    {
      "name": "HL7 International / Human and Social Services",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/hsswg"
        },
        {
          "system": "email",
          "value": "hhswg@lists.HL7.org"
        }
      ]
    }
  ],
  "description": "This Section describes the expected capabilities of the eLTSS/US Core Server actor which is responsible for providing responses to the queries submitted by the eLTSS/US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by eLTSS/US Core Servers are defined. Systems implementing this capability statement should meet the ONC 2015 Common Clinical Data Set (CCDS) access requirement for Patient Selection 170.315(g)(7) and Application Access - Data Category Request 170.315(g)(8) and the ONC [U.S. Core Data for Interoperability (USCDI) Version 3 July 2022](https://www.healthit.gov/isa/sites/isa/files/2022-07/USCDI-Version-3-July-2022-Final.pdf).  eLTSS/US Core Clients have the option of choosing from this list to access necessary data based on their local use cases and other contextual requirements.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "kind": "requirements",
  "instantiates": [
    "http://hl7.org/fhir/us/eltss/CapabilityStatement/eltss-server"
  ],
  "_instantiates": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }
      ]
    }
  ],
  "imports": [
    "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server|6.1"
  ],
  "_imports": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }
      ]
    }
  ],
  "fhirVersion": "4.0.1",
  "format": [
    "json",
    "xml"
  ],
  "_format": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }
      ]
    }
  ],
  "patchFormat": [
    "application/json-patch+json"
  ],
  "_patchFormat": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }
      ]
    }
  ],
  "implementationGuide": [
    "http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch|2.2.0",
    "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core|6.1",
    null
  ],
  "_implementationGuide": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }
      ]
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }
      ]
    }
  ],
  "rest": [
    {
      "mode": "server",
      "documentation": "The eLTSS/US Core Server **SHALL**:\n\n1. Support the eLTSS Patient resource profile AND at least one additional resource profile from the list of eLTSS/US Core Profiles AND all Must Support eLTSS/US Core Profiles and resources it references.\n     - The tables below summarizes the Must Support references to other eLTSS/US Core Profiles and FHIR resources for each eLTSS/US Core Profile:\n1. Implement the RESTful behavior according to the FHIR specification.\n1. Follow the requirements documented in the [General Requirements](https://hl7.org/fhir/us/core/STU6.1/general-requirements.html) and [Must Support](https://hl7.org/fhir/us/core/STU6.1/must-support.html) pages\n1. Return the following response classes:\n   - (Status 400): invalid parameter\n   - (Status 401/4xx): unauthorized request\n   - (Status 403): insufficient scopes\n   - (Status 404): unknown resource\n1. Support JSON source formats for all eLTSS/US Core interactions.\n\nThe eLTSS/US Core Server **SHOULD**:\n\n1. Follow the guidance documented in the [General Guidance](https://hl7.org/fhir/us/core/STU6.1/general-guidance.html) page\n1. Support XML source formats for all eLTSS/US Core interactions.\n1. Identify the eLTSS/US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.\n",
      "security": {
        "description": "1. See the [General Security Considerations](http://hl7.org/fhir/us/core/STU6.1/security.html) section for requirements and recommendations.\n1. A server **SHALL** reject any unauthorized requests by returning an `HTTP 401` \"Unauthorized\", `HTTP 403` \"Forbidden\", or `HTTP 404` \"Not Found\""
      },
      "resource": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "clinical-status"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "AllergyIntolerance",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "vread"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "update"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "patch"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "delete"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "history-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "_referencePolicy": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchRevInclude": [
            "Provenance:target"
          ],
          "_searchRevInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "clinical-status",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status",
              "type": "token",
              "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\nThe server **SHALL** support both."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-patient",
              "type": "reference",
              "documentation": "The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.\n\nThe server **SHALL** support both."
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
                },
                {
                  "url": "required",
                  "valueString": "status"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
                },
                {
                  "url": "required",
                  "valueString": "status"
                },
                {
                  "url": "required",
                  "valueString": "date"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
                },
                {
                  "url": "required",
                  "valueString": "date"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "CarePlan",
          "supportedProfile": [
            "http://hl7.org/fhir/us/eltss/StructureDefinition/CarePlan-eltss"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* Additional considerations for systems aligning with [HL7 Consolidated (C-CDA)](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements:\n    - eLTSS Goal **SHOULD** be present in CarePlan.goal\n    - eLTSS or US Core Condition **SHOULD** be present in CarePlan.addresses\n    - Assement and Plan **MAY** be included as narrative text",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "vread"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "update"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "patch"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "delete"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "history-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "_referencePolicy": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchRevInclude": [
            "Provenance:target"
          ],
          "_searchRevInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "category",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-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-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*."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-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-careplan-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."
            }
          ],
          "operation": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "all-eltss-careplan",
              "definition": "http://hl7.org/fhir/us/eltss/OperationDefinition/all-eltss-careplan",
              "documentation": "A server **MAY** be capable of responding to a $all-eltss-careplan operation and capable of returning a bundle that provides all eLTSS data for a given Patient’s identified CarePlan. Given a CarePlan with a specific Patient and ID, this operation will return all the referenced artifacts necessary to satisfy the eLTSS data element set found in the DAM. The Operation reduces the number of queries that a client must make.\n\n GET [base]/CarePlan/[id]/$all-eltss-careplan"
            }
          ]
        },
        {
          "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"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "role"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "CareTeam",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "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\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 (and `_include` search parameters), 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 supports only *US Core Practitioner Profile* **SHALL** provide implementation specific guidance how to access a provider's location and contact information using only the Practitioner resource.",
          "interaction": [
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              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "vread"
            },
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              "extension": [
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                  "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": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
            },
            {
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              "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**."
            },
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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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."
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          "extension": [
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                  "url": "required",
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                  "url": "required",
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            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "category"
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              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
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          ],
          "type": "DocumentReference",
          "supportedProfile": [
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          ],
          "_supportedProfile": [
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                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ]
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          ],
          "documentation": "* The `DocumentReference.type` binding **SHALL** support at a minimum the [5 Common Clinical Notes](https://hl7.org/fhir/us/core/STU6.1/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.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 the endpoint is outside the FHIR base URL, it **SHOULD NOT** require additional authorization to access.\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": [
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              "code": "create"
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            {
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
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            },
            {
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ],
              "code": "read"
            },
            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "code": "vread"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
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              ],
              "code": "update"
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              "extension": [
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              ],
              "code": "delete"
            },
            {
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
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          "_referencePolicy": [
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              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-id",
              "type": "token"
            },
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              ],
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              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-documentreference-status",
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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."
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              ],
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              "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": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                }
              ],
              "name": "category",
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              "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."
            },
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              ],
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              "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."
            },
            {
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              ],
              "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": "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*."
            }
          ],
          "operation": [
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ],
              "name": "docref",
              "definition": "http://hl7.org/fhir/us/core/OperationDefinition/docref",
              "documentation": "A server **SHALL** be capable of responding to a $docref operation and  capable of returning at least a reference to a generated CCD document, if available. **MAY** provide references to other 'on-demand' and 'stable' documents (or 'delayed/deferred assembly') that meet the query parameters as well. If a context date range is supplied the server ** SHOULD**  provide references to any document that falls within the date range.  If no date range is supplied, then the server **SHALL** provide references to last or current document(s).  **SHOULD** document what resources, if any, are returned as included resources\n\n`GET [base]/DocumentReference/$docref?patient=[id]`"
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                  "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"
            },
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                {
                  "url": "required",
                  "valueString": "class"
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                {
                  "url": "required",
                  "valueString": "patient"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
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            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                  "url": "required",
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              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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                {
                  "url": "required",
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            },
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              "extension": [
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                {
                  "url": "required",
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                  "url": "required",
                  "valueString": "discharge-disposition"
                }
              ],
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            }
          ],
          "type": "Encounter",
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              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-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-immunization-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": "date",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-immunization-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"
            }
          ],
          "type": "Location",
          "supportedProfile": [
            "http://hl7.org/fhir/us/eltss/StructureDefinition/Location-eltss"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* The US Core Location  and PractitionerRole Profiles are not explicitly referenced in any US Core Profile. However they **SHOULD** be used as the default profile if referenced by another US Core profile.",
          "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"
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              ],
              "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"
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              ],
              "code": "patch"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
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              ],
              "code": "delete"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
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              ],
              "code": "history-type"
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          ],
          "referencePolicy": [
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          "_referencePolicy": [
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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          ],
          "searchParam": [
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              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ],
              "name": "name",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-location-name",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "address",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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              ],
              "name": "address-city",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-city",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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              ],
              "name": "address-state",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-state",
              "type": "string"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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              ],
              "name": "address-postalcode",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-location-address-postalcode",
              "type": "string"
            }
          ]
        },
        {
          "extension": [
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              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
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          ],
          "type": "Media",
          "documentation": "The Media Resource is a Must Suppot referenced resource when using the US Core DiagnosticReport Profile for Report and Note Exchange.",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              "code": "create"
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              ],
              "code": "search-type"
            },
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              "code": "read"
            },
            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "code": "vread"
            },
            {
              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "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"
            }
          ],
          "referencePolicy": [
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          ],
          "_referencePolicy": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "Medication",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "documentation": "* The  MedicationRequest resource can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationRequest, then the READ  **SHALL**  be supported.",
          "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"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "_referencePolicy": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ]
        },
        {
          "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": "status"
                },
                {
                  "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": "status"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "MedicationDispense",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationdispense"
          ],
          "_supportedProfile": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ]
            }
          ],
          "documentation": "* The MedicationDispense resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods.\n\n For example, A server **SHALL** be capable of returning dispense records for all medications for a patient using one of or both:\n\n `GET /MedicationDispense?patient=[id]`\n\n `GET /MedicationDispense?patient=[id]&_include=MedicationDispense:medication`\n",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "vread"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "update"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "patch"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "delete"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "history-type"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "_referencePolicy": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
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              ]
            }
          ],
          "searchInclude": [
            "MedicationDispense:medication"
          ],
          "_searchInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchRevInclude": [
            "Provenance:target"
          ],
          "_searchRevInclude": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ]
            }
          ],
          "searchParam": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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              ],
              "name": "status",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-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-medicationdispense-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."
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "name": "patient",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-medicationdispense-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",
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            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                },
                {
                  "url": "required",
                  "valueString": "patient"
                },
                {
                  "url": "required",
                  "valueString": "intent"
                },
                {
                  "url": "required",
                  "valueString": "encounter"
                }
              ],
              "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": "intent"
                },
                {
                  "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": "intent"
                },
                {
                  "url": "required",
                  "valueString": "authoredon"
                }
              ],
              "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": "intent"
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination"
            }
          ],
          "type": "MedicationRequest",
          "supportedProfile": [
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          ],
          "_supportedProfile": [
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              "extension": [
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                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
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              ]
            }
          ],
          "documentation": "* The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the _include` parameter for searching this element. The client application must support all methods.\n\n For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:\n\n `GET /MedicationRequest?patient=[id]`\n\n `GET /MedicationRequest?patient=[id]&_include=MedicationRequest:medication`\n\n* The MedicationRequest resource can represent that information is from a secondary source using either a boolean flag or reference in `MedicationRequest.reportedBoolean`, or a reference using `MedicationRequest.reportedReference` to Practitioner or other resource.\n   *   Although both are marked as must support, the server systems are not required to support both a boolean and a reference, but **SHALL** choose to support at least one of these elements.\n   *  The client application **SHALL** support both elements.",
          "interaction": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "create"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "search-type"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHALL"
                }
              ],
              "code": "read"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "vread"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "update"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "patch"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "delete"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ],
              "code": "history-instance"
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "MAY"
                }
              ],
              "code": "history-type"
            }
          ],
          "referencePolicy": [
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          "_referencePolicy": [
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                {
                  "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode": "SHOULD"
                }
              ]
            }
          ],
          "searchInclude": [
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          ],
          "_searchInclude": [
            {
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              "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": "_id",
              "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-id",
              "type": "token"
            }
          ]
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode": "SHALL"
            }
          ],
          "type": "Specimen",
          "supportedProfile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen"
          ],
          "_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": "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"
            }
          ],
          "referencePolicy": [
            "resolves"
          ],
          "_referencePolicy": [
            {
              "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-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"
        }
      ]
    }
  ]
}