PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.us.sdoh-clinicalcare@2.2.0
    http://hl7.org/fhir/us/sdoh-clinicalcare/CapabilityStatement/SDOHCC-ReferralSource
{
  "description": "This resource describes the required and desired behavior of systems acting as SDOH clinical care 'referral sources'.  These are typically EHR or Payer systems that initiate the process of identifying patients with SDOH needs and requesting appropriate services.",
  "_filename": "CapabilityStatement-SDOHCC-ReferralSource.json",
  "package_name": "hl7.fhir.us.sdoh-clinicalcare",
  "format": [ "xml", "json" ],
  "date": "2021-06",
  "publisher": "HL7 International / Patient Care",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "purpose": "Because systems that originate requests for service may sometimes also be recipients of requests for service, the requirements include 'SHOULD' expectations to also accept and process requests from other systems.  The referral source may either interact directly with a [Referral Recipient](CapabilityStatement-SDOHCC-ReferralRecipient.html) or will interact through an intermediary [Coordination Platform](CapabilityStatement-SDOHCC-CoordinationPlatform.html).  Responsibilities of Referral Sources include capturing information from a patient in the form of QuestionnaireResponses, Observations, Conditions and Goals as well as creating the ServiceRequest instances that refer patients for needed services and the Tasks that initiate fulfillment of those referrals.",
  "name": "SDOHCC_ReferralSource",
  "type": null,
  "experimental": null,
  "resourceType": "CapabilityStatement",
  "title": "SDOHCC Referral Source",
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  "id": "74c2c2ad-4453-45f0-b2b5-1942767a066a",
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  "url": "http://hl7.org/fhir/us/sdoh-clinicalcare/CapabilityStatement/SDOHCC-ReferralSource",
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      "referencePolicy": [ "literal" ],
      "supportedProfile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse" ],
      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      } ]
    }, {
      "type": "RelatedPerson",
      "interaction": [ {
        "code": "read",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "documentation": "Allows downstream coordination platforms or referral recipients to retrieve a RelatedPerson that is the requester or intended performer of a ServiceRequest."
      }, {
        "code": "search-type",
        "extension": [ {
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        } ],
        "documentation": "Allows downstream coordination platforms or referral recipients to monitor previously-retrieved RelatedPersons that are the requester or intended performer of ServiceRequests."
      } ],
      "searchParam": [ {
        "name": "_id",
        "type": "token",
        "extension": [ {
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        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-id",
        "documentation": "Allows retrieving known RelatedPerson records - and more specifically, retrieving more than one in a single call to poll for updates"
      }, {
        "name": "_lastUpdated",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
        "documentation": "Allows filtering for only records that have changed since last query"
      } ],
      "documentation": "Used to allow downstream systems to access to information about the requester or intended performer of a ServiceRequest when they are someone with a personal relationship to the Patient",
      "referencePolicy": [ "literal" ],
      "supportedProfile": [ "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ],
      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      } ]
    }, {
      "searchParam": [ {
        "name": "_id",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-id",
        "documentation": "Allows retrieving known ServiceRequests records - and more specifically, retrieving more than one in a single call to poll for updates"
      }, {
        "name": "_lastUpdated",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
        "documentation": "Allows filtering for only records that have changed since last query"
      }, {
        "name": "category",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-category",
        "documentation": "Allows filtering to only retrieve ServiceRequests that are SDOH-related"
      }, {
        "name": "code",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/clinical-code",
        "documentation": "Allows filtering to retrieve ServiceRequests for specific types of services"
      }, {
        "name": "intent",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-intent",
        "documentation": "Allows filtering to retrieve only 'order' ServiceRequests and not plans, proposals, etc."
      }, {
        "name": "occurrence",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-occurrence",
        "documentation": "Allows filtering to retrieve ServiceRequests based on the timeframe in which the service needs to be provided"
      }, {
        "name": "patient",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/clinical-patient",
        "documentation": "Allows filtering to retrieve only ServiceRequests associated with a particular patient.  Note that some systems may mandate that searches are always patient-specific"
      }, {
        "name": "performer",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-performer",
        "documentation": "Allows filtering to retrieve only ServiceRequests that designate a specific performer"
      }, {
        "name": "requester",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-requester",
        "documentation": "Allows filtering to retrieve only ServiceRequests created by a specific practitioner"
      }, {
        "name": "status",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/ServiceRequest-status",
        "documentation": "Allows filtering to retrieve only active ServiceRequests"
      }, {
        "name": "supporting-info",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/us/sdoh-clinicalcare/SearchParameter/ServiceRequest-supporting-info",
        "documentation": "Allows _include to retrieve supporting information for a ServiceRequest - particularly Consent"
      } ],
      "referencePolicy": [ "literal" ],
      "type": "ServiceRequest",
      "interaction": [ {
        "code": "create",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "documentation": "Allows records to be authored by a SMART app if the manager system does not have the capability itself - or finds it better to use a third-party interface."
      }, {
        "code": "update",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "documentation": "Allows records to be edited by a SMART app if the manager system does not have the capability itself - or finds it better to use a third-party interface."
      }, {
        "code": "read",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows client systems to retrieve the ServiceRequest pointed to by a Task."
      }, {
        "code": "search-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows client systems to monitor multiple ServiceRequests for change simultaneously via polling."
      } ],
      "documentation": "Used to allow retrieval of an order for SDOH-related services",
      "supportedProfile": [ "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest" ],
      "_searchInclude": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      }, {
        "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": "SHOULD"
        } ]
      }, {
        "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": "SHOULD"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      } ],
      "searchInclude": [ "HealthCareService:location", "ServiceRequest:supporting-info", "ServiceRequest:pertains-to-goal", "ServiceRequest:patient", "ServiceRequest:requester", "ServiceRequest:performer", "PractitionerRole:practitioner", "PractitionerRole:organization" ],
      "versioning": "versioned-update",
      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      } ]
    }, {
      "type": "Subscription",
      "operation": [ {
        "name": "status",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/uv/subscriptions-backport/OperationDefinition/backport-subscription-status",
        "documentation": "Allows upstream systems to verify their subscription is functioning properly and to check for errors"
      } ],
      "interaction": [ {
        "code": "create",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "documentation": "Allows upstream systems to initiate a subscription to monitor updates to Tasks (and theoretically other things)"
      }, {
        "code": "update",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "documentation": "Allows upstream systems to revise existing subscriptions - to adjust delivery target, to add additional tasks to monitor (if subscribing by id), etc."
      } ],
      "documentation": "Used to allow downstream (and occasionally upstream) systems to subscribe to and monitor changes to Tasks stored on this system",
      "supportedProfile": [ "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/backport-subscription" ],
      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      } ]
    }, {
      "searchParam": [ {
        "name": "_id",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-id",
        "documentation": "Allows retrieving known Task records - and more specifically, retrieving more than one in a single call to poll for updates"
      }, {
        "name": "_lastUpdated",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
        "documentation": "Allows filtering for only records that have changed since last query"
      }, {
        "name": "code",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-code",
        "documentation": "Allows filtering for 'fulfill' tasks as opposed to others.  Some systems may require code to be included as a filter criteria as different Task codes may correspond to different internal database tables."
      }, {
        "name": "owner",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-owner",
        "documentation": "Allows filtering only for tasks that are assigned to a particular owner (or alternatively, tasks that have not yet been assigned)"
      }, {
        "name": "patient",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-patient",
        "documentation": "Allows monitoring of tasks associated with a particular patient.  (Some systems may require that all queries be done in the context of a single patient.)"
      }, {
        "name": "requester",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-requester",
        "documentation": "Allows retrieving all tasks that have been requested by a particular organization or individual.  This will commonly be used to monitor the tasks initiated by a particular system"
      }, {
        "name": "status",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-status",
        "documentation": "Allows filtering to only active or completed tasks"
      }, {
        "name": "focus",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/SearchParameter/Task-focus",
        "documentation": "Allows retrieving the task(s) seeking fulfillment of a particular ServiceRequest"
      }, {
        "name": "output",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/us/sdoh-clinicalcare/SearchParameter/Task-output-reference",
        "documentation": "Allows for the 'output' of a Task to be included when retrieving a Task"
      } ],
      "conditionalRead": "modified-since",
      "referencePolicy": [ "literal" ],
      "type": "Task",
      "interaction": [ {
        "code": "create",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows upstream coordination platforms and referral sources system to create tasks on this system seeking fulfillment of a ServiceRequest or an action to be performed by a patient or caregiver."
      }, {
        "code": "update",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows modification of an existing Task by upstream systems (e.g. to cancel it) or by downstream systems (to accept or reject it or add output links to performed procedures).  Servers SHALL enforce appropriate permissions on systems with respect to updates.  Specifically, only authors of a Task have authority to update all aspects of the Task.  (Systems MAY limit what changes can be made to tasks that have been accepted or completed.)  Assigned task owners may change the status, statusReason and outputs.  Users who are neither the author or owner of a Task cannot make changes to it."
      }, {
        "code": "read",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows retrieval of a Task that was referenced in a subscription notification or per-Task polling for change."
      }, {
        "code": "search-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "documentation": "Allows the other systems to poll multiple tasks simultaneously, as well as to retrieve referenced resources as part of a single query."
      } ],
      "documentation": "Used by upstream referral sources and coordination platforms to create and update Tasks seeking fufillment of ServiceRequests or for actions to be performed by a patient.  Also used by downstream referral recipients to monitor and update Tasks stored on this system as they respond to requests to fulfill referrals and link in information about actions taken so far",
      "supportedProfile": [ "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-TaskForPatient", "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-TaskForReferralManagement" ],
      "_searchInclude": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      }, {
        "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": "SHOULD"
        } ]
      }, {
        "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": "SHOULD"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      } ],
      "searchInclude": [ "Task:focus", "Task:output", "HealthCareService:location", "ServiceRequest:supporting-info", "ServiceRequest:pertains-to-goal", "ServiceRequest:patient", "ServiceRequest:requester", "ServiceRequest:performer", "PractitionerRole:practitioner", "PractitionerRole:organization" ],
      "versioning": "versioned-update",
      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ]
      } ]
    } ],
    "security": {
      "service": [ {
        "coding": [ {
          "code": "SMART-on-FHIR",
          "system": "http://terminology.hl7.org/CodeSystem/restful-security-service"
        } ]
      } ],
      "description": "Implementations must meet the general privacy & security requirements documented in [this implementation guide](privacy_and_security.html)."
    },
    "interaction": [ {
      "code": "batch",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode": "SHOULD"
      } ],
      "documentation": "Allows other systems to poll for changes to multiple resource types simultaneously"
    } ],
    "documentation": "Referral sources must make both the referral and all information referenced by it available to downstream [coordination platforms](CapabilityStatement-SDOHCC-CoordinationPlatform.html) and [referral recipient](CapabilityStatement-SDOHCC-ReferralRecipient.html) systems and - depending on the capabilities of the receivers - may also need to make the Tasks themselves available for query and support writing of procedures in situations where the recipient is a ['light' referral recipient](CapabilityStatement-SDOHCC-ReferralRecipient.html) that doesn't have local persistence or FHIR server capabilities."
  } ]
}