{
  "description": "This CapabilityStatement describes the expected capabilities of the US Core Server actor which is responsible for providing responses to the queries submitted by the US Core Requestors. The complete list of FHIR profiles, RESTful operations, and search parameters supported by US Core Servers are defined. Systems implementing this capability statement should meet the Office of the National Coordinator for Health Information Technology (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 6 July 2025](https://www.healthit.gov/isp/sites/isp/files/2025-07/USCDI-Version-6-July-2025.pdf).",
  "_filename": "CapabilityStatement-us-core-server.json",
  "package_name": "hl7.fhir.us.core",
  "format": [ "json", "xml" ],
  "_patchFormat": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
      "valueCode": "SHOULD"
    } ]
  } ],
  "_format": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
      "valueCode": "SHALL"
    } ]
  }, {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
      "valueCode": "SHOULD"
    } ]
  } ],
  "date": "2026-04-16",
  "publisher": "HL7 International / Cross-Group Projects",
  "patchFormat": [ "application/json-patch+json" ],
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "name": "UsCoreServerCapabilityStatement",
  "type": null,
  "experimental": "false",
  "resourceType": "CapabilityStatement",
  "title": "US Core Server CapabilityStatement",
  "package_version": "9.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "cgp"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 3,
    "_valueInteger": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"
      } ]
    }
  }, {
    "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/core/ImplementationGuide/hl7.fhir.us.core"
      } ]
    }
  } ],
  "status": "active",
  "id": "c76262fd-4a83-40b0-8f9b-f2620684a2b9",
  "kind": "requirements",
  "implementationGuide": [ "http://hl7.org/fhir/smart-app-launch/ImplementationGuide/hl7.fhir.uv.smart-app-launch" ],
  "url": "http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server",
  "version": "9.0.0",
  "contact": [ {
    "name": "HL7 International / Cross-Group Projects",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cgp",
      "system": "url"
    }, {
      "value": "cgp@lists.HL7.org",
      "system": "email"
    } ]
  } ],
  "rest": [ {
    "mode": "server",
    "resource": [ {
      "type": "AllergyIntolerance",
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        "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": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "clinical-status"
        } ]
      } ],
      "interaction": [ {
        "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": "SHALL"
        } ]
      }, {
        "code": "vread",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
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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": "SHOULD"
        } ]
      }, {
        "code": "history-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ]
      } ],
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        "name": "clinical-status",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-allergyintolerance-clinical-status|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      }, {
        "name": "patient",
        "type": "reference",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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      } ],
      "searchRevInclude": [ "Provenance:target" ],
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/display",
          "valueString": "US Core AllergyIntolerance Profile"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/narrativeLink",
          "valueUrl": "StructureDefinition-us-core-allergyintolerance.html"
        } ]
      } ]
    }, {
      "type": "CarePlan",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode": "SHALL"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "category"
        }, {
          "url": "required",
          "valueString": "status"
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        }, {
          "url": "required",
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        }, {
          "url": "required",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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        }, {
          "url": "required",
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        }, {
          "url": "required",
          "valueString": "category"
        }, {
          "url": "required",
          "valueString": "date"
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      }, {
        "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"
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          "url": "required",
          "valueString": "status"
        }, {
          "url": "required",
          "valueString": "date"
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      } ],
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        "code": "create",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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      }, {
        "code": "search-type",
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      }, {
        "code": "read",
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      }, {
        "code": "vread",
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        "code": "update",
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        } ]
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        "code": "patch",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "code": "delete",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "code": "history-instance",
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        } ]
      }, {
        "code": "history-type",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      } ],
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        "name": "category",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-category|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      }, {
        "name": "date",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-date|9.0.0",
        "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\n\nA server **SHALL** support a value precise to the *second + time offset*."
      }, {
        "name": "patient",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-patient|9.0.0",
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      }, {
        "name": "status",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careplan-status|9.0.0",
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      } ],
      "searchRevInclude": [ "Provenance:target" ],
      "supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|9.0.0" ],
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        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      } ],
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        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/narrativeLink",
          "valueUrl": "StructureDefinition-us-core-careplan.html"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/display",
          "valueString": "US Core CarePlan Profile"
        } ]
      } ]
    }, {
      "_searchRevInclude": [ {
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
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        "type": "reference",
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      }, {
        "name": "role",
        "type": "token",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-role|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      }, {
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-careteam-status|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      } ],
      "type": "CareTeam",
      "interaction": [ {
        "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": "SHALL"
        } ]
      }, {
        "code": "vread",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      }, {
        "code": "update",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "code": "patch",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ]
      }, {
        "code": "delete",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ]
      }, {
        "code": "history-instance",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      }, {
        "code": "history-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      } ],
      "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": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "role"
        } ]
      } ],
      "supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam|9.0.0" ],
      "_searchInclude": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
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        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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          "valueUrl": "StructureDefinition-us-core-careteam.html"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/display",
          "valueString": "US Core CareTeam Profile"
        } ]
      } ]
    }, {
      "type": "Condition",
      "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": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "clinical-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": "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": "category"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "abatement-date"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "recorded-date"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "_lastUpdated"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "asserted-date"
        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        }, {
          "url": "required",
          "valueString": "patient"
        }, {
          "url": "required",
          "valueString": "category"
        }, {
          "url": "required",
          "valueString": "clinical-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": "onset-date"
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        "code": "history-type",
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        "name": "name",
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        "name": "patient",
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        "documentation": "The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.\n\n\nThe server **SHALL** support both."
      } ],
      "searchRevInclude": [ "Provenance:target" ],
      "supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson|9.0.0" ],
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      "_supportedProfile": [ {
        "extension": [ {
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          "url": "http://hl7.org/fhir/StructureDefinition/display",
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        } ]
      } ]
    }, {
      "type": "ServiceRequest",
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        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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          "url": "required",
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          "url": "required",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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          "url": "required",
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          "url": "required",
          "valueString": "category"
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          "url": "required",
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        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
        "extension": [ {
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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          "url": "required",
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        } ]
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination",
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          "url": "required",
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          "url": "required",
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        } ]
      } ],
      "interaction": [ {
        "code": "create",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "code": "search-type",
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        } ]
      }, {
        "code": "read",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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      }, {
        "code": "vread",
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        } ]
      }, {
        "code": "update",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "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",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ]
      }, {
        "code": "history-type",
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      } ],
      "searchParam": [ {
        "name": "_id",
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        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-id|9.0.0"
      }, {
        "name": "authored",
        "type": "date",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-authored|9.0.0",
        "documentation": "A client **SHALL** provide a value precise to the *second + time offset*.\n\n\nA server **SHALL** support a value precise to the *second + time offset*."
      }, {
        "name": "category",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-category|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      }, {
        "name": "code",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-code|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      }, {
        "name": "patient",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHALL"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-patient|9.0.0",
        "documentation": "The client **SHALL** provide at least a id value and **MAY** provide both the Type and id values.\n\n\nThe server **SHALL** support both."
      }, {
        "name": "status",
        "type": "token",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-servicerequest-status|9.0.0",
        "documentation": "The client **SHALL** provide at least a code value and **MAY** provide both the system and code values.\n\n\nThe server **SHALL** support both."
      } ],
      "searchRevInclude": [ "Provenance:target" ],
      "supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|9.0.0" ],
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          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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      "_supportedProfile": [ {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/narrativeLink",
          "valueUrl": "StructureDefinition-us-core-servicerequest.html"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/display",
          "valueString": "US Core ServiceRequest Profile"
        } ]
      } ]
    }, {
      "type": "Specimen",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode": "SHALL"
      } ],
      "interaction": [ {
        "code": "create",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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        } ]
      }, {
        "code": "search-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
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      }, {
        "code": "read",
        "extension": [ {
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        } ]
      }, {
        "code": "vread",
        "extension": [ {
          "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": "SHOULD"
        } ]
      }, {
        "code": "history-type",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "MAY"
        } ]
      } ],
      "searchParam": [ {
        "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|9.0.0"
      }, {
        "name": "patient",
        "type": "reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/us/core/SearchParameter/us-core-specimen-patient|9.0.0"
      } ],
      "supportedProfile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-specimen|9.0.0" ],
      "_supportedProfile": [ {
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        }, {
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          "valueUrl": "StructureDefinition-us-core-specimen.html"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/display",
          "valueString": "US Core Specimen Profile"
        } ]
      } ]
    }, {
      "type": "ValueSet",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
        "valueCode": "SHOULD"
      } ],
      "operation": [ {
        "name": "expand",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode": "SHOULD"
        } ],
        "definition": "http://hl7.org/fhir/OperationDefinition/ValueSet-expand",
        "_definition": {
          "extension": [ {
            "url": "http://hl7.org/fhir/StructureDefinition/narrativeLink",
            "valueUrl": "http://hl7.org/fhir/R4/valueset-operation-expand.html"
          }, {
            "url": "http://hl7.org/fhir/StructureDefinition/display",
            "valueString": "$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."
      } ]
    } ],
    "security": {
      "description": "1. See the [General Security Considerations](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\""
    },
    "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 Core Server **SHALL**:\n\n1. Support the US Core Patient resource profile AND at least one additional resource profile from the list of US Core Profiles AND and all *Must Support* US Core Profiles and resources it references.\n    -  A summary table listing all the *Must Support* references to other US Core Profiles and FHIR resources for each US Core Profile is located in the [Must Support - Resource References](must-support.html#must-support---resource-references) section of the guide.\n1. Follow the narrative requirements documented in the:\n    - [Conformance](conformance.html) pages\n    - [Guidance](guidance.html) pages\n    - Profile Specific Implementation Guidance for each Profile that the US Core Server supports.\n\n    The [Server Requirements Table](requirements.html#server-requirements) and [US Core Server Requirements Resource](Requirements-us-core-server.html) and [US Core Certifying System Requirements Resource](Requirements-us-core-certifying-system.html) list the requirements defined in these pages and sections.\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 US Core interactions.\n\nThe US Core Server **SHOULD**:\n\n1. Follow the guidance documented in the [General Guidance](general-guidance.html) page\n1. Support XML source formats for all US Core interactions.\n1. Identify the US Core profiles supported as part of the FHIR `meta.profile` attribute for each instance.\n\n> **NOTE**: US Core SearchParameters referenced in this CapabilityStatement that are derived from standard FHIR SearchParameters are only defined to document Server and Client expectations. They specify additional expectations for the following SearchParameter elements:\n> - `multipleAnd`\n> - `multipleOr`\n> - `comparator`\n> - `modifier`\n> - `chain`\n>\n> They **SHALL NOT** be interpreted as search parameters for search. Servers and Clients **SHOULD** use the standard FHIR SearchParameters."
  } ],
  "_implementationGuide": [ {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
      "valueCode": "SHOULD"
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/narrativeLink",
      "valueUrl": "https://hl7.org/fhir/smart-app-launch/STU2/index.html"
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/display",
      "valueString": "SMART App Launch version 2.0.0 and later"
    } ]
  } ]
}