{
"description": "This capability statement describes the expected capabilities of the US Quality Core Servers\\nwhich is responsible for responding to USCDI+ Quality V1 queries submitted by US Quality Core Clients.\\nIt describes a minimum set of FHIR RESTful operations and search parameters necessary to enable access\\nto the set of USCDI+ Quality V1 data that is in scope of this implementation guide. For more information\\nabout which USCDI+ Quality data elements are in scope, please review the [USCDI+ Quality](uscdiquality.html) section\\nof this implementation guide.\\n\\nUS Quality Core Servers **SHALL** support the capabilities described in the [US\\nCore Server CapabilityStatement\\nSTU6.1](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html).\\nSome RESTFUL operations and search parameters described in the US Quality Core Server CapabilityStatement are redundant\\nto the US Core Server CapabilityStatement, but are listed here to highlight which\\ncapabilities are specifically relevant to USCDI+ Quality V1.\\n\\nThe US Quality Core Implementation Guide v0.5.0 is derived from the QI-Core Implementation Guide STU6. It adopts\\nall profiles within the [QI-Core Implementation Guide STU6](https://hl7.org/fhir/us/qicore/STU6/) to enable a more seamless adoption of this\\nimplementation guide. However, only those profiles that contain USCDI+ Quality V1 data are required to be supported\\nby US Quality Core Servers. The FHIR RESTful operations and search parameters in this capability statement\\nreflects this scope.\\n",
"_filename": "CapabilityStatement-us-quality-core-server.json",
"package_name": "fhir.onc.us-quality-core",
"format": [ "json" ],
"date": "2026-06-05",
"publisher": "Office of the National Coordinator for Health Information Technology (ONC)",
"fhirVersion": "4.0.1",
"jurisdiction": [ {
"text": "USA",
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"name": "USQualityCoreServerCapabilityStatement",
"type": null,
"experimental": "false",
"resourceType": "CapabilityStatement",
"title": "US Quality Core Server CapabilityStatement",
"package_version": "0.5.0",
"status": "active",
"id": "5456b0c6-76ba-4b96-91ef-87dc4297236a",
"kind": "requirements",
"implementationGuide": [ "http://fhir.org/guides/onc/us-quality-core/ImplementationGuide/fhir.onc.us-quality-core" ],
"url": "http://fhir.org/guides/onc/us-quality-core/CapabilityStatement/us-quality-core-server",
"version": "0.5.0",
"contact": [ {
"name": "Office of the National Coordinator for Health Information Technology (ONC)",
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"value": "https://www.healthit.gov/feedback",
"system": "url"
} ]
} ],
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"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-adverseevent-subject",
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}, {
"name": "event",
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"valueCode": "MAY"
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"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-adverseevent-event",
"documentation": "The client **MAY** provide a code value."
}, {
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"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-adverseevent-recorded-date",
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} ],
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"valueCode": "SHALL"
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"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-allergyintolerance-patient",
"documentation": "The client **SHALL** provide an id value for the reference."
} ],
"referencePolicy": [ "resolves" ],
"type": "AllergyIntolerance",
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"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `patient` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#allergyintolerance). | Supports patient-scoped retrieval of allergy and intolerance data needed for in-scope USCDI+ Quality data access. |",
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} ],
"referencePolicy": [ "resolves" ],
"type": "CareTeam",
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}, {
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} ],
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"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `patient` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#condition). | Supports patient-scoped retrieval of conditions needed for in-scope USCDI+ Quality data access. |\n| `patient` + `category` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#condition). | Supports patient-scoped retrieval filtered by condition category, including problem, health concern, and encounter diagnosis use cases. |\n| `patient` + `code` | Added in US Quality Core. | Supports patient-scoped retrieval filtered by condition code. US Quality Core makes this combination explicit as a primary retrieval path for quality logic that filters by diagnosis, problem, or health concern code. |",
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}, {
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} ],
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"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `patient` | Added in US Quality Core. | Supports patient-scoped retrieval of device requests for quality reporting. This US Quality Core-specific search is needed because DeviceRequest is in scope for USCDI+ Quality but is not profiled by US Core 6.1.0. |\n| `patient` + `code` | Added in US Quality Core. | Supports patient-scoped retrieval filtered by requested device code. This US Quality Core-specific combination makes the device code available as a primary retrieval path for quality logic. |\n| `patient` + `do-not-perform` | Added in US Quality Core. | Supports negation workflows by enabling retrieval of device requests that indicate the requested action should not be performed. |",
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}, {
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}, {
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} ],
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"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-relatedperson-patient",
"documentation": "The client **SHALL** provide an id value for the reference."
} ],
"referencePolicy": [ "resolves" ],
"type": "RelatedPerson",
"interaction": [ {
"code": "read",
"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"
} ]
} ],
"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `_id` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#relatedperson). | Supports search retrieval of a known RelatedPerson by resource id. |\n| `patient` | Added in US Quality Core. | Supports retrieval of related persons associated with a patient for in-scope USCDI+ Quality data access. |",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"supportedProfile": [ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson" ]
}, {
"_searchRevInclude": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ]
} ],
"searchRevInclude": [ "Provenance:target" ],
"searchParam": [ {
"name": "_id",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-id",
"documentation": "The client **SHALL** provide an id value."
}, {
"name": "patient",
"type": "reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-patient",
"documentation": "The client **SHALL** provide an id value for the reference."
}, {
"name": "category",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-category",
"documentation": "The client **MAY** provide a category."
}, {
"name": "code",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-code",
"documentation": "The client **MAY** provide a code value."
}, {
"name": "authored",
"type": "date",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-authored",
"documentation": "The client **MAY** provide a date value."
}, {
"name": "do-not-perform",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-servicerequest-do-not-perform",
"documentation": "The client **MAY** provide a token value."
} ],
"referencePolicy": [ "resolves" ],
"type": "ServiceRequest",
"interaction": [ {
"code": "read",
"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"
} ]
} ],
"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `_id` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#servicerequest). | Supports search retrieval of a known ServiceRequest by resource id. |\n| `patient` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#servicerequest). | Supports patient-scoped retrieval of service requests needed for in-scope USCDI+ Quality data access. |\n| `patient` + `category` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#servicerequest). | Supports patient-scoped retrieval filtered by service request category. |\n| `patient` + `category` + `authored` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#servicerequest). | Supports patient-scoped retrieval filtered by category and authored date so quality workflows can constrain service requests to relevant reporting periods. |\n| `patient` + `code` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#servicerequest). | Supports patient-scoped retrieval filtered by service request code, including primary code paths used by quality logic. |\n| `patient` + `do-not-perform` | Added in US Quality Core. | Supports negation workflows by enabling retrieval of service requests that indicate the requested action should not be performed. |",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "required",
"valueString": "patient"
}, {
"url": "required",
"valueString": "category"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "required",
"valueString": "patient"
}, {
"url": "required",
"valueString": "category"
}, {
"url": "required",
"valueString": "authored"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "required",
"valueString": "patient"
}, {
"url": "required",
"valueString": "code"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "required",
"valueString": "patient"
}, {
"url": "required",
"valueString": "do-not-perform"
} ]
} ],
"supportedProfile": [ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicerequest", "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-servicenotrequested" ]
}, {
"type": "Specimen",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"interaction": [ {
"code": "read",
"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"
} ]
} ],
"searchParam": [ {
"name": "patient",
"type": "reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-patient|6.1.0",
"documentation": "The client **SHALL** provide an id value for the reference."
}, {
"name": "_id",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-id|6.1.0",
"documentation": "The client **SHALL** provide a token value."
} ],
"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `_id` | Required by [US Core](https://hl7.org/fhir/us/core/STU6.1/CapabilityStatement-us-core-server.html#specimen). | Supports search retrieval of a known Specimen by resource id, including specimens referenced by quality-relevant observations and diagnostic reports. |",
"referencePolicy": [ "resolves" ],
"supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|6.1.0" ]
}, {
"_searchRevInclude": [ {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ]
} ],
"searchRevInclude": [ "Provenance:target" ],
"searchParam": [ {
"name": "patient",
"type": "reference",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-task-patient",
"documentation": "The client **SHALL** provide an id value for the reference."
}, {
"name": "status",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-task-status",
"documentation": "The client **MAY** provide a status."
}, {
"name": "code",
"type": "token",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ],
"definition": "http://fhir.org/guides/onc/us-quality-core/SearchParameter/us-quality-core-task-code",
"documentation": "The client **MAY** provide a code value."
} ],
"referencePolicy": [ "resolves" ],
"type": "Task",
"interaction": [ {
"code": "read",
"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"
} ]
} ],
"documentation": "Search requirements are selected according to the rules described in [Search Requirement Selection](general-requirements.html#search-requirement-selection). The table below summarizes why each required individual search or required search parameter combination is included for this resource.\n\n| Required search | US Core alignment | Rationale |\n|---|---|---|\n| `patient` | Added in US Quality Core. | Supports patient-scoped retrieval of tasks for quality reporting. This US Quality Core-specific search is needed because Task is in scope for USCDI+ Quality but is not profiled by US Core 6.1.0. |\n| `patient` + `status` | Added in US Quality Core. | Supports patient-scoped retrieval filtered by task status for status-sensitive quality workflows. |\n| `patient` + `code` | Added in US Quality Core. | Supports patient-scoped retrieval filtered by task code. This US Quality Core-specific combination makes the task code available as a primary retrieval path for quality logic. |",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"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": "status"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}, {
"url": "required",
"valueString": "patient"
}, {
"url": "required",
"valueString": "code"
} ]
} ],
"supportedProfile": [ "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-task", "http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-taskrejected" ]
} ],
"interaction": [ {
"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",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
} ]
} ],
"documentation": "The US Quality Core Server SHALL:\n\n1. Conform to requirements provided in the US Core Server CapabilityStatement and the base FHIR specification\n2. Support all US Quality Core and US Core profiles that contain at least one in-scope USCDI+ Quality data element, as described in the [USCDI+ Quality page](/uscdiquality.html)\n3. Support all interactions, search parameters, and combined search parameters that have SHALL conformance expectations as described in this CapabilityStatement\n4. Support all USCDI+ Quality flagged data elements, and those flagged as MustSupport from underlying US Core profiles\n5. Ensure resources in 'Any' references conform to US Quality Core profiles if the base resource has a US Quality Core profile\n6. Implement the RESTful behavior according to the FHIR specification for all interactions in this CapabilityStatement\n7. Support JSON source formats for all interactions in this CapabilityStatement\n\nNOTE: US Quality Core and US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations, such as comparator expectations, and to support generation tooling. They SHALL NOT be interpreted as search parameters for searching. Actual searches use the standard FHIR SearchParameters.\n"
} ]
}