@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/us/core/Basic/us-core-client> a fhir:Basic ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "us-core-client"] ; # 
  fhir:text [
     fhir:status [ fhir:v "extensions" ] ;
     fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\n<p>These requirements apply to the actor: <i><strong>US Core Requestor (Clients including Certifying Systems)</strong></i></p>\n\n<p><strong>Legend:</strong></p>\n<ul>\n<li><strong>Key:</strong>  An identifier for the requirement.</li>\n<li><strong>Context:</strong> The name and link to the narrative section that pertains to the requirement. There can be more than one narrative section that references the same requirement.</li>\n<li><strong>Conformance:</strong> The conformance verb of the requirement: <strong>SHALL</strong>, <strong>SHOULD</strong>, <strong>MAY</strong>, <strong>SHALL-NOT</strong>, or <strong>SHOULD-NOT</strong>.</li>\n<li><strong>Requirement:</strong> The actual requirements statement, which is a direct quote from the IG and may include helpful context in square brackets. Note that statements in the narrative section that contain multiple requirements in a single context are split into individual requirement statements.</li>\n</ul>\n\n<table class=\"grid\">\n  <thead>\n    <tr>\n    <th>Key</th>\n    <th>Context</th>\n    <th>Conformance</th>\n    <th>Requirement</th>\n    </tr>\n  </thead>\n  <tbody>\n    \n    <tr id=\"CONF-0022\">\n    <td>CONF-0022</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0022\">general-requirements.html#required-bindings-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[When populating a coded element with a <a href=\"http://hl7.org/fhir/R4/terminologies.html#required\">required binding</a> to a ValueSet definition] US Core Requestors <strong>SHALL</strong> be capable of processing the code [from the required binding ValueSet]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0028\">\n    <td>CONF-0028</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0028\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>US Core Requestors <strong>SHALL</strong> be  capable of processing the code in ['DataElement.code.code' or text in 'DataElement.code.text' for a DataElement.code that has an extensible binding]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0032\">\n    <td>CONF-0032</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0032\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Clients <strong>SHALL</strong> be  able to process [elements that are] <a href=\"https://hl7.org/fhir/us/core/must-support.html\">Mandatory</a> or <a href=\"https://hl7.org/fhir/us/core/must-support.html\">Must Support elements</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0035\">\n    <td>CONF-0035</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0035\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>receivers <strong>SHOULD</strong> accept instances that ... contain unexpected data elements  [<a href=\"http://hl7.org/fhir/R4/conformance-rules.html#isModifier\">definition</a>]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0036\">\n    <td>CONF-0036</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0036\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p>receivers <strong>SHOULD NOT</strong> accept instances that ... contain unexpected data elements … when those elements are modifier elements [<a href=\"http://hl7.org/fhir/R4/conformance-rules.html#isModifier\">definition</a>]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0037\">\n    <td>CONF-0037</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0037\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Unless a Client determines they can process [a resource with a modifier] safely, rejection is typically the only safe action if unexpected modifier elements are present.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0053\">\n    <td>CONF-0053</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0053\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When searching using the <code>token</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#token\">(how to search by token)</a> The Client <strong>SHALL</strong> provide at least a code value</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0054\">\n    <td>CONF-0054</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0054\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>When searching using the <code>token</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#token\">(how to search by token)</a> The Client … <strong>MAY</strong>  provide both the system and code values.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0056\">\n    <td>CONF-0056</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0056\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When searching using the <code>reference</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#reference\">(how to search by reference)</a> The Client <strong>SHALL</strong> provide at least an id value</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0057\">\n    <td>CONF-0057</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0057\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>When searching using the <code>reference</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#reference\">(how to search by reference)</a> The Client … <strong>MAY</strong>  provide both the Type and id values.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0059\">\n    <td>CONF-0059</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0059\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When searching using the <code>date</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#date\">(how to search by date)</a> The Client <strong>SHALL</strong> provide values precise to the day for elements of datatype <code>date</code></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0060\">\n    <td>CONF-0060</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0060\">general-requirements.html#fhir-restful-search-api-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When searching using the <code>date</code> type searchparameter <a href=\"http://hl7.org/fhir/R4/search.html#date\">(how to search by date)</a> The Client <strong>SHALL</strong> provide values precise … to the second + time offset for elements of datatype <code>dateTime</code>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0076\">\n    <td>CONF-0076</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0076\">must-support.html#must-support-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For querying and reading US Core Profiles, Must Support on any profile data element <strong>SHALL</strong> be interpreted as follows…:</p>\n<p>US Core Requestors <strong>SHALL</strong> be capable of processing resource instances containing the data elements without generating an error or causing the application to fail.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0079\">\n    <td>CONF-0079</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0079\">must-support.html#must-support-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For querying and reading US Core Profiles, Must Support on any profile data element <strong>SHALL</strong> be interpreted as follows…:</p>\n<p>When querying US Core Responders, US Core Requestors <strong>SHALL</strong> interpret missing data elements within resource instances as data not present in the US Core Responder’s system.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0082\">\n    <td>CONF-0082</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0082\">must-support.html#must-support-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For querying and reading US Core Profiles, Must Support on any profile data element <strong>SHALL</strong> be interpreted as follows…:</p>\n<p>US Core Requestors <strong>SHALL</strong> be able to process resource instances containing data elements asserting missing information.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0083\">\n    <td>CONF-0083</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0083\">must-support.html#additional-uscdi-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Implementors [US Core Requestors] seeking ONC certification [in the ONC IT Health Certification program] <strong>SHALL</strong> interpret Additional USCDI Requirements as Must Support elements as documented above and below;</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0085\">\n    <td>CONF-0085</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0085\">must-support.html#additional-uscdi-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Implementors [US Core Requestors] [not] seeking ONC certification [in the ONC IT Health Certification program] <strong>SHALL</strong> interpret Additional USCDI Requirements as … optional.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0092\">\n    <td>CONF-0092</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0092\">must-support.html#must-support---primitive-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[W]hen claiming conformance [to a profile with a must support primitive element] … US Core requestors <strong>SHALL</strong> be  capable of processing the value [of the primitive element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0098\">\n    <td>CONF-0098</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0098\">must-support.html#must-support---complex-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When claiming conformance [to a must support complex element with no must support sub-elements] … US Core Requestors <strong>SHALL</strong> be  capable of processing a value in [the complex element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0100\">\n    <td>CONF-0100</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0100\">must-support.html#must-support---complex-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When claiming conformance [to a must support complex element with one or more must support sub-elements] … US Core Requestors <strong>SHALL</strong> be  capable of processing a values in [each must support sub-element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0102\">\n    <td>CONF-0102</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0102\">must-support.html#must-support---complex-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems [US Core Requestors] can support the other elements [of a complex element, not labeled as a Must Support], but this is not a requirement of US Core</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0106\">\n    <td>CONF-0106</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0106\">must-support.html#must-support---resource-references</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When a Reference type element is labeled as <em>Must Support</em>, has multiple target profiles referenced, and specific targets are labeled as <em>Must Support</em>,\"\n...</p>\n<ul>\n<li>US Core Responders <strong>SHALL</strong> be capable of providing [such an element] with a valid reference to [all listed Must Support profile(s).]</li>\n</ul>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0108\">\n    <td>CONF-0108</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0108\">must-support.html#must-support---resource-references</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems [US Core Requestors] can support other [resource] references [other than those labeled as Must Support], but this is not a requirement of US Core</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0110\">\n    <td>CONF-0110</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0110\">must-support.html#must-support---resource-references</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When a Reference type element is labeled as <em>Must Support</em> and has a single target profile referenced\n...</p>\n<ul>\n<li>US Core Responders <strong>SHALL</strong> be capable of providing [such an element] with a valid reference to [the Must Support Profile.]</li>\n</ul>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0112\">\n    <td>CONF-0112</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0112\">must-support.html#must-support---choice-of-data-types</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support\n… When claiming conformance to [such a] profile:</p>\n<ul>\n<li>US Core Requestors <strong>SHALL</strong> be capable of processing [the Must Support data type choice]</li>\n</ul>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0113\">\n    <td>CONF-0113</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0113\">must-support.html#must-support---choice-of-data-types</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support[, or a profile has] an Additional USCDI element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Additional USCDI</p>\n<p>…</p>\n<p>[US Core Requestors] <strong>MAY</strong>  support ... processing other [data type] choice elements (such as Observation.effectivePeriod), but this is not a requirement of US Core.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0116\">\n    <td>CONF-0116</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0116\">must-support.html#must-support---choice-of-profile-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>There are several instances in this Guide where there is a choice of supporting one or another profile element to meet the Must Support or Additional USCDI requirement. In such cases, … the Client application <strong>SHALL</strong> support all elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0122\">\n    <td>CONF-0122</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0122\">scopes.html#capabilities-for-implementations-supporting-backend-services</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Implementations [US Core Requestors] supporting Backend Services – for example, to meet US EHR certification requirements [of the ONC IT Health Certification program]- <strong>SHALL</strong>  include support for the Client-confidential-asymmetric capability and system/scopes.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0127\">\n    <td>CONF-0127</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0127\">scopes.html#smart-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Core Clients <strong>SHOULD</strong>follow the <a href=\"https://en.wikipedia.org/wiki/Principle_of_least_privilege\">principle of least privilege</a> and access only the necessary resources.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0172\">\n    <td>CONF-0172</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0172\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Core requires ... additional metadata [to be available through the Server's <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known\">Well-Known Uniform Resource Identifier (URI)</a>]: ... [in] <code>scopes_supported</code> [the] array of scopes a Client <strong>MAY</strong> request. The app <strong>SHOULD</strong> inspect the returned scopes and accommodate the differences from the scopes it asked for and registered.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0194\">\n    <td>CONF-0194</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0194\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[When Clients request a resource in a specific language] Clients <strong>MAY</strong>   request language/locale using the http <a href=\"https://www.ietf.org/rfc/rfc2616.txt\">Accept-Language</a> header.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0226\">\n    <td>CONF-0226</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0226\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems [Clients] <strong>MAY</strong> support other [DiagnosticReport] categories as well.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0232\">\n    <td>CONF-0232</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0232\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>a Client <strong>MAY</strong>  determine the note and report types supported by a Server by invoking the standard FHIR Value Set Expansion (<a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a>) operation defined in the FHIR R4 specification.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0251\">\n    <td>CONF-0251</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0251\">medication-list.html#options-for-representing-medication</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application MUST support all methods [for referencing a medication resource: returned bundle, as an external resource, or as a <a href=\"http://hl7.org/fhir/R4/references.html#contained\">contained</a> resource]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0264\">\n    <td>CONF-0264</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0264\">medication-list.html#de-duplication-of-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To provide a list of a patient’s medications, it <strong>MAY</strong> be necessary to “de-duplicate” them. The de-duplication activity ... <strong>SHOULD</strong> be provided by the Client.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0275\">\n    <td>CONF-0275</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0275\">screening-and-assessments.html#category-codes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>API consumers <strong>MAY</strong>  query by category  when accessing patient information.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0286\">\n    <td>CONF-0286</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0286\">changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Therefore, Client applications must plan on deduplication methods that rely on something other than a common identifier across FHIR versions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0292\">\n    <td>CONF-0292</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0292\">changes-between-versions.html#expectation-that-data-is-preserved-between-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The FHIR RESTful resource types supported in a DSTU2 implementation <strong>SHOULD</strong> be supported in a R4 implementation</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0293\">\n    <td>CONF-0293</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0293\">changes-between-versions.html#expectation-that-data-is-preserved-between-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The FHIR RESTful resource types supported in a DSTU2 implementation <strong>SHOULD</strong> be supported in a R4 implementation [with the] exception [of]\nMedicationStatement <strong>MAY</strong> be deprecated, and the data <strong>SHOULD</strong> be mapped to MedicationRequest.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0294\">\n    <td>CONF-0294</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0294\">changes-between-versions.html#expectation-that-data-is-preserved-between-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The FHIR RESTful resource types supported in a DSTU2 implementation <strong>SHOULD</strong> be supported in a R4 implementation [with the] exception [of]\nCare teams as represented by CarePlan in DSTU2 <strong>SHOULD</strong> be replaced by and the data mapped to CareTeam in R4</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0299\">\n    <td>CONF-0299</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0299\">changes-between-versions.html#expectation-that-data-is-preserved-between-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When updating between versions, Clients <strong>SHOULD</strong> consider the impact of any changes to data visualization on the usability for the end user and the maintenance of data integrity.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0314\">\n    <td>CONF-0314</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0314\">StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[C]lient application[s conforming to the US Core CareTeam profile] <strong>SHALL</strong> support [US Core Practitioner Profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0315\">\n    <td>CONF-0315</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0315\">StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[C]lient application[s conforming to the US Core CareTeam profile] <strong>SHALL</strong> support [US Core PractitionerRole Profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0316\">\n    <td>CONF-0316</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0316\">StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[C]lient application[s conforming to the US Core CareTeam profile] <strong>SHALL</strong> support [US Core RelatedPerson Profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0369\">\n    <td>CONF-0369</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0369\">StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-adi-documentreference.html#CONF-0369\">StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [DocumentReference.attachment.url]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0370\">\n    <td>CONF-0370</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0370\">StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-adi-documentreference.html#CONF-0370\">StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [DocumentReference.attachment.data]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0376\">\n    <td>CONF-0376</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0376\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [ Encounter.reasonCode]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0377\">\n    <td>CONF-0377</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0377\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [Encounter.reasonReference]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0380\">\n    <td>CONF-0380</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0380\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [Encounter.location.location]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0381\">\n    <td>CONF-0381</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0381\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [Encounter.serviceProvider]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0388\">\n    <td>CONF-0388</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-goal.html#CONF-0388\">StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support ... Goal.startDate</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0389\">\n    <td>CONF-0389</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-goal.html#CONF-0389\">StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support ... Goal.target.dueDate</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0403\">\n    <td>CONF-0403</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0403\">StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0403\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [using a code in .medicationCodeableConcept to represent medications when supporting the US Core MedicationDispense profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0404\">\n    <td>CONF-0404</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0404\">StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0404\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [referencing a Medication resource in .medicationReferencet to represent medications when supporting the US Core MedicationDispense profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0409\">\n    <td>CONF-0409</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0409\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [medicationRequest.reporedtBoolean]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0410\">\n    <td>CONF-0410</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0410\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support [MedicationRequest.reportedReference]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0412\">\n    <td>CONF-0412</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0412\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] the certifying Client application <strong>SHALL</strong> support [MedicationRequest.reasonCode.]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0413\">\n    <td>CONF-0413</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0413\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] the certifying Client application <strong>SHALL</strong> support [MedicationRequest.reasonReference.]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0415\">\n    <td>CONF-0415</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0415\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] Clients <strong>SHALL</strong> support all target resources in MedicationRequest.reasonReference.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0476\">\n    <td>CONF-0476</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0476\">StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support both [the PractitionerRole profile and the Practitioner.address element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0483\">\n    <td>CONF-0483</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0483\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program] … Clients <strong>SHALL</strong> support ... US Core Procedure Profile for communicating the reason or justification for a referral as Additional USCDI Requirements</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0485\">\n    <td>CONF-0485</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0485\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] The certifying Client application <strong>SHALL</strong> support both [Procedure.reasonCode and Procedure.reasonReference]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0487\">\n    <td>CONF-0487</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0487\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference … Clients <strong>SHALL</strong> support all target resources in Procedure.reasonReference</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0517\">\n    <td>CONF-0517</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0517\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program] … Clients <strong>SHALL</strong> support ... US Core ServiceRequest Profile for communicating the reason or justification for a referral as Additional USCDI Requirements</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0519\">\n    <td>CONF-0519</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0519\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] The certifying Client application <strong>SHALL</strong> support both [ServiceRequest.reasonCode and ServiceRequest.reasonReference]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0521\">\n    <td>CONF-0521</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0521\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference … Clients <strong>SHALL</strong> support all target resources in ServiceRequest.reasonReference</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0525\">\n    <td>CONF-0525</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-specimen.html#CONF-0525\">StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The Client application <strong>SHALL</strong> support both [ Specimen.identifier and Specimen.accessionIdentifier]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0551\">\n    <td>CONF-0551</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0551\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> establish a risk analysis and management regime that conforms with HIPAA security regulatory requirements</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0553\">\n    <td>CONF-0553</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0553\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Federal systems <strong>SHOULD</strong> conform with the risk management and mitigation requirements defined in NIST 800 series documents.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0555\">\n    <td>CONF-0555</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0555\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Federal systems … <strong>SHOULD</strong> include security category assignment following NIST 800-60 vol. 2 Appendix D.14.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0557\">\n    <td>CONF-0557</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0557\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The coordination of risk management and the related security and privacy controls … <strong>SHOULD</strong> be defined in the Business Associate Agreement when available.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0559\">\n    <td>CONF-0559</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0559\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> reference a single time source to establish a common time base for security auditing and clinical data records among computing systems.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0561\">\n    <td>CONF-0561</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0561\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The selected time service <strong>SHOULD</strong> be documented in the Business Associate Agreement when available.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0563\">\n    <td>CONF-0563</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0563\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> keep audit logs of the various transactions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0565\">\n    <td>CONF-0565</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0565\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> use TLS version 1.2 or higher for all transmissions not taking place over a secure network connection.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0567\">\n    <td>CONF-0567</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0567\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Federal systems <strong>SHOULD</strong> conform with FIPS PUB 140-2.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0569\">\n    <td>CONF-0569</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0569\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> conform to <a href=\"http://hl7.org/fhir/R4/security.html#http\">FHIR Communications Security</a> requirements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0571\">\n    <td>CONF-0571</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0571\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For Authentication and Authorization, Systems <strong>SHALL</strong> support any <a href=\"http://hl7.org/fhir/smart-app-launch/history.html\">SMART App Launch version</a> for Client &lt;-&gt; Server interactions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0573\">\n    <td>CONF-0573</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0573\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong>  implement consent requirements per their state, local, and institutional policies.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0575\">\n    <td>CONF-0575</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0575\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The Business Associate Agreements <strong>SHOULD</strong> document systems’ mutual consent requirements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0577\">\n    <td>CONF-0577</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0577\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Systems <strong>SHOULD</strong> provide Provenance statements using the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-provenance.html\">US Core Provenance Profile</a> resource and associated requirements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0579\">\n    <td>CONF-0579</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0579\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems <strong>MAY</strong>   implement the <a href=\"http://hl7.org/fhir/R4/security.html#digital%20signatures\">FHIR Digital Signatures</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0581\">\n    <td>CONF-0581</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0581\">security.html#patient-privacy-and-security</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems <strong>MAY</strong>   protect the confidentiality of data at rest via encryption and associated access controls.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0815\">\n    <td>CONF-0815</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0815\">general-guidance.html#client-best-practices-for-search</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When the Server supports [ the _include search parameter], Clients <strong>SHOULD</strong> use the _include search parameter to retrieve referenced content instead of searching for a resource and then performing a separate search for other references (for example, Patient, Encounter, and Location) in the result set.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0816\">\n    <td>CONF-0816</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0816\">general-guidance.html#client-best-practices-for-search</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If the Server does not support the _include search parameter, Clients <strong>SHOULD</strong> consolidate duplicate searches before searching for referenced resources in the result set</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0817\">\n    <td>CONF-0817</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0817\">general-guidance.html#client-best-practices-for-search</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p><strong>SHOULD  NOT</strong> search the same data within the time stated in the <code>Cache-Control</code> header.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0849\">\n    <td>CONF-0849</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0849\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[For the US Core Observation Screening Assessment Profile,] the Client system ... <strong>SHALL</strong> support [both] Reference(US Core Observation Screening Assessment Profile) [and] Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0853\">\n    <td>CONF-0853</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0853\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The certifying Client application <strong>SHALL</strong> support the [<a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html\">US Core Interpreter Needed Extension</a>] on [the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>] .</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0854\">\n    <td>CONF-0854</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0854\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The certifying Client application <strong>SHALL</strong> support the [<a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html\">US Core Interpreter Needed Extension</a>] on [the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a>].</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0869\">\n    <td>CONF-0869</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-simple-observation.html#CONF-0869\">StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>'Observation.performer' target profiles <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> and <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> are labeled Must Support.... Clients <strong>SHALL</strong> support both.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0882\">\n    <td>CONF-0882</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0882\">must-support.html#must-support---resource-references</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When a Reference element is labeled as <em>Must Support</em> has multiple target profiles referenced, but none are labeled as <em>Must Support</em></p>\n<p>...</p>\n<ul>\n<li>US Core Requesters <strong>SHALL</strong> be capable of processing  [such an element]  with a valid reference to <em>at least one</em> target profile.</li>\n</ul>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0886\">\n    <td>CONF-0886</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0886\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers can use the US Core Interpreter Needed Extension on this profile or the [US Core Patient Profile] to communicate whether a patient needs an interpreter…Client application <strong>SHALL</strong> support the extension on both profiles.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0888\">\n    <td>CONF-0888</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0888\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>'Observation.performer' target profiles <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> and <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> are labeled Must Support.... Clients <strong>SHALL</strong> support both.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0911\">\n    <td>CONF-0911</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0911\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>API consumers <strong>MAY</strong>  query by category when accessing patient information.</p>\n</div></td>\n    </tr>\n    \n  </tbody>\n</table>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "cgp"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>
     ] ;
     fhir:value [
       a fhir:Integer ;
       fhir:v 3 ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>
         ] ;
         fhir:value [
           a fhir:Canonical ;
           fhir:v "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core>
         ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "trial-use" ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>
         ] ;
         fhir:value [
           a fhir:Canonical ;
           fhir:v "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core>
         ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url>
     ] ;
     fhir:value [
       a fhir:Uri ;
       fhir:v "http://hl7.org/fhir/us/core/Requirements/us-core-client"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/core/Requirements/us-core-client>
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version>
     ] ;
     fhir:value [
       a fhir:String ;
       fhir:v "9.0.0"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name>
     ] ;
     fhir:value [
       a fhir:String ;
       fhir:v "USCoreClientRequirements"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title>
     ] ;
     fhir:value [
       a fhir:String ;
       fhir:v "US Core Client Requirements"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status>
     ] ;
     fhir:value [
       a fhir:Code ;
       fhir:v "draft"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date>
     ] ;
     fhir:value [
       a fhir:DateTime ;
       fhir:v "2026-05-31T04:04:04+10:00"^^xsd:dateTime
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher>
     ] ;
     fhir:value [
       a fhir:String ;
       fhir:v "HL7 International / Cross-Group Projects"
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact>
     ] ;
     fhir:value [
       a fhir:ContactDetail ;
       fhir:name [ fhir:v "HL7 International / Cross-Group Projects" ] ;
       fhir:telecom ( [
         fhir:system [ fhir:v "url" ] ;
         fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cgp" ]
       ] [
         fhir:system [ fhir:v "email" ] ;
         fhir:value [ fhir:v "cgp@lists.HL7.org" ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description>
     ] ;
     fhir:value [
       a fhir:Markdown ;
       fhir:v "This [Requirements](https://hl7.org/fhir/R5/requirements.html) resource lists the US Core Requestor (Client) requirements defined in the US Core Implementation Guide narrative sections. These requirements represent the regulatory, business, functional, and technical specifications that design artifacts must meet to ensure interoperability."
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction>
     ] ;
     fhir:value [
       a fhir:CodeableConcept ;
       fhir:coding ( [
         fhir:system [
           fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
           fhir:l <urn:iso:std:iso:3166>
         ] ;
         fhir:code [ fhir:v "US" ]
       ] )
     ]
  ] [
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor>
     ] ;
     fhir:value [
       a fhir:Canonical ;
       fhir:extension ( [
         fhir:url [
           fhir:v "http://hl7.org/fhir/StructureDefinition/display"^^xsd:anyURI ;
           fhir:l <http://hl7.org/fhir/StructureDefinition/display>
         ] ;
         fhir:value [
           a fhir:String ;
           fhir:v "US Core Requestor (Clients including Certifying Systems)"
         ]
       ] )
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0022"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[When populating a coded element with a [required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition] US Core Requestors **SHALL** be capable of processing the code [from the required binding ValueSet]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#required-bindings-for-coded-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#required-bindings-for-coded-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0022"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0022
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0028"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Core Requestors **SHALL** be  capable of processing the code in ['DataElement.code.code' or text in 'DataElement.code.text' for a DataElement.code that has an extensible binding]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#extensible-binding-for-coded-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#extensible-binding-for-coded-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0028"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0028
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0032"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Clients **SHALL** be  able to process [elements that are] [Mandatory](https://hl7.org/fhir/us/core/must-support.html) or [Must Support elements](https://hl7.org/fhir/us/core/must-support.html)"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#modifier-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#modifier-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0032"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0032
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0035"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "receivers **SHOULD** accept instances that ... contain unexpected data elements  [[definition](http://hl7.org/fhir/R4/conformance-rules.html#isModifier)]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#modifier-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#modifier-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0035"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0035
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0036"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD-NOT"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "receivers **SHOULD NOT** accept instances that ... contain unexpected data elements … when those elements are modifier elements [[definition](http://hl7.org/fhir/R4/conformance-rules.html#isModifier)]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#modifier-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#modifier-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0036"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0036
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0037"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Unless a Client determines they can process [a resource with a modifier] safely, rejection is typically the only safe action if unexpected modifier elements are present."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#modifier-elements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#modifier-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0037"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0037
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0053"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `token` type searchparameter [(how to search by token)](http://hl7.org/fhir/R4/search.html#token) The Client **SHALL** provide at least a code value"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0053"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0053
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0054"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `token` type searchparameter [(how to search by token)](http://hl7.org/fhir/R4/search.html#token) The Client … **MAY**  provide both the system and code values."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0054"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0054
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0056"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `reference` type searchparameter [(how to search by reference)](http://hl7.org/fhir/R4/search.html#reference) The Client **SHALL** provide at least an id value"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0056"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0056
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0057"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `reference` type searchparameter [(how to search by reference)](http://hl7.org/fhir/R4/search.html#reference) The Client … **MAY**  provide both the Type and id values."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0057"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0057
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0059"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Client **SHALL** provide values precise to the day for elements of datatype `date`"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0059"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0059
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0060"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When searching using the `date` type searchparameter [(how to search by date)](http://hl7.org/fhir/R4/search.html#date) The Client **SHALL** provide values precise … to the second + time offset for elements of datatype `dateTime`."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-requirements.html#fhir-restful-search-api-requirements"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#fhir-restful-search-api-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-requirements.html#CONF-0060"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0060
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0076"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nUS Core Requestors **SHALL** be capable of processing resource instances containing the data elements without generating an error or causing the application to fail."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0076"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0076
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0079"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nWhen querying US Core Responders, US Core Requestors **SHALL** interpret missing data elements within resource instances as data not present in the US Core Responder’s system."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0079"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0079
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0082"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nUS Core Requestors **SHALL** be able to process resource instances containing data elements asserting missing information."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0082"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0082
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0083"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Implementors [US Core Requestors] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as Must Support elements as documented above and below;"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#additional-uscdi-requirements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#additional-uscdi-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0083"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0083
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0085"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Implementors [US Core Requestors] [not] seeking ONC certification [in the ONC IT Health Certification program] **SHALL** interpret Additional USCDI Requirements as … optional."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#additional-uscdi-requirements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#additional-uscdi-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0085"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0085
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0092"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[W]hen claiming conformance [to a profile with a must support primitive element] … US Core requestors **SHALL** be  capable of processing the value [of the primitive element]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---primitive-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---primitive-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0092"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0092
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0098"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When claiming conformance [to a must support complex element with no must support sub-elements] … US Core Requestors **SHALL** be  capable of processing a value in [the complex element]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---complex-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---complex-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0098"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0098
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0100"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When claiming conformance [to a must support complex element with one or more must support sub-elements] … US Core Requestors **SHALL** be  capable of processing a values in [each must support sub-element]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---complex-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---complex-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0100"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0100
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0102"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems [US Core Requestors] can support the other elements [of a complex element, not labeled as a Must Support], but this is not a requirement of US Core"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---complex-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---complex-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0102"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0102
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0106"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When a Reference type element is labeled as *Must Support*, has multiple target profiles referenced, and specific targets are labeled as *Must Support*,\"\n...\n\n- US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [all listed Must Support profile(s).]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---resource-references"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---resource-references ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0106"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0106
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0108"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems [US Core Requestors] can support other [resource] references [other than those labeled as Must Support], but this is not a requirement of US Core"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---resource-references"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---resource-references ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0108"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0108
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0110"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When a Reference type element is labeled as *Must Support* and has a single target profile referenced\n...\n- US Core Responders **SHALL** be capable of providing [such an element] with a valid reference to [the Must Support Profile.]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---resource-references"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---resource-references ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0110"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0110
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0112"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support\n… When claiming conformance to [such a] profile:\n\n- US Core Requestors **SHALL** be capable of processing [the Must Support data type choice]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---choice-of-data-types"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---choice-of-data-types ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0112"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0112
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0113"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[If a profile has] a Must Support element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Must Support[, or a profile has] an Additional USCDI element [with] a choice of datatypes for its content [and some of] the datatypes … are labeled as Additional USCDI\n\n…\n\n[US Core Requestors] **MAY**  support ... processing other [data type] choice elements (such as Observation.effectivePeriod), but this is not a requirement of US Core."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---choice-of-data-types"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---choice-of-data-types ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0113"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0113
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0116"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "There are several instances in this Guide where there is a choice of supporting one or another profile element to meet the Must Support or Additional USCDI requirement. In such cases, … the Client application **SHALL** support all elements."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---choice-of-profile-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---choice-of-profile-elements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0116"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0116
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0122"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Implementations [US Core Requestors] supporting Backend Services – for example, to meet US EHR certification requirements [of the ONC IT Health Certification program]- **SHALL**  include support for the Client-confidential-asymmetric capability and system/scopes."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "scopes.html#capabilities-for-implementations-supporting-backend-services"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#capabilities-for-implementations-supporting-backend-services ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "scopes.html#CONF-0122"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0122
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0127"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Core Clients **SHOULD**follow the [principle of least privilege](https://en.wikipedia.org/wiki/Principle_of_least_privilege) and access only the necessary resources."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "scopes.html#smart-scopes"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#smart-scopes ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "scopes.html#CONF-0127"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0127
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0172"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Core requires ... additional metadata [to be available through the Server's [Well-Known Uniform Resource Identifier (URI)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known)]: ... [in] `scopes_supported` [the] array of scopes a Client **MAY** request. The app **SHOULD** inspect the returned scopes and accommodate the differences from the scopes it asked for and registered."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "scopes.html#additional-us-core-requirements"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#additional-us-core-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "scopes.html#CONF-0172"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0172
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0194"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[When Clients request a resource in a specific language] Clients **MAY**   request language/locale using the http [Accept-Language](https://www.ietf.org/rfc/rfc2616.txt) header."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-guidance.html#language-support"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#language-support ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-guidance.html#CONF-0194"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0194
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0226"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems [Clients] **MAY** support other [DiagnosticReport] categories as well."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "clinical-notes.html#support-requirements"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#support-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "clinical-notes.html#CONF-0226"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0226
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0232"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "a Client **MAY**  determine the note and report types supported by a Server by invoking the standard FHIR Value Set Expansion ([$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html)) operation defined in the FHIR R4 specification."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "clinical-notes.html#support-requirements"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#support-requirements ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "clinical-notes.html#CONF-0232"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0232
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0251"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application MUST support all methods [for referencing a medication resource: returned bundle, as an external resource, or as a [contained](http://hl7.org/fhir/R4/references.html#contained) resource]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "medication-list.html#options-for-representing-medication"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#options-for-representing-medication ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "medication-list.html#CONF-0251"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0251
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0264"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "To provide a list of a patient’s medications, it **MAY** be necessary to “de-duplicate” them. The de-duplication activity ... **SHOULD** be provided by the Client."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "medication-list.html#de-duplication-of-data"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#de-duplication-of-data ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "medication-list.html#CONF-0264"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0264
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0275"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "API consumers **MAY**  query by category  when accessing patient information."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "screening-and-assessments.html#category-codes"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#category-codes ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "screening-and-assessments.html#CONF-0275"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0275
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0286"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Therefore, Client applications must plan on deduplication methods that rely on something other than a common identifier across FHIR versions."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "changes-between-versions.html#CONF-0286"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0286
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0292"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "changes-between-versions.html#expectation-that-data-is-preserved-between-versions"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#expectation-that-data-is-preserved-between-versions ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "changes-between-versions.html#CONF-0292"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0292
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0293"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of]\nMedicationStatement **MAY** be deprecated, and the data **SHOULD** be mapped to MedicationRequest."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "changes-between-versions.html#expectation-that-data-is-preserved-between-versions"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#expectation-that-data-is-preserved-between-versions ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "changes-between-versions.html#CONF-0293"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0293
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0294"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The FHIR RESTful resource types supported in a DSTU2 implementation **SHOULD** be supported in a R4 implementation [with the] exception [of]\nCare teams as represented by CarePlan in DSTU2 **SHOULD** be replaced by and the data mapped to CareTeam in R4"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "changes-between-versions.html#expectation-that-data-is-preserved-between-versions"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#expectation-that-data-is-preserved-between-versions ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "changes-between-versions.html#CONF-0294"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0294
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0299"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When updating between versions, Clients **SHOULD** consider the impact of any changes to data visualization on the usability for the end user and the maintenance of data integrity."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "changes-between-versions.html#expectation-that-data-is-preserved-between-versions"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#expectation-that-data-is-preserved-between-versions ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "changes-between-versions.html#CONF-0299"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0299
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0314"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core Practitioner Profile]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-careteam.html#CONF-0314"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0314
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0315"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core PractitionerRole Profile]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-careteam.html#CONF-0315"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0315
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0316"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[C]lient application[s conforming to the US Core CareTeam profile] **SHALL** support [US Core RelatedPerson Profile]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-careteam.html#CONF-0316"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0316
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0369"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [DocumentReference.attachment.url]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-documentreference.html#CONF-0369"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0369
           ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-adi-documentreference.html#CONF-0369"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0369
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0370"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [DocumentReference.attachment.data]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-documentreference.html#CONF-0370"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0370
           ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-adi-documentreference.html#CONF-0370"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0370
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0376"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [ Encounter.reasonCode]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-encounter.html#CONF-0376"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0376
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0377"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [Encounter.reasonReference]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-encounter.html#CONF-0377"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0377
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0380"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [Encounter.location.location]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-encounter.html#CONF-0380"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0380
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0381"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [Encounter.serviceProvider]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-encounter.html#CONF-0381"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0381
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0388"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support ... Goal.startDate"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-goal.html#CONF-0388"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-goal.html#CONF-0388
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0389"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support ... Goal.target.dueDate"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-goal.html#CONF-0389"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-goal.html#CONF-0389
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0403"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [using a code in .medicationCodeableConcept to represent medications when supporting the US Core MedicationDispense profile]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationdispense.html#CONF-0403"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0403
           ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0403"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0403
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0404"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [referencing a Medication resource in .medicationReferencet to represent medications when supporting the US Core MedicationDispense profile]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationdispense.html#CONF-0404"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0404
           ]
         ] )
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0404"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0404
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0409"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [medicationRequest.reporedtBoolean]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0409"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0409
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0410"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support [MedicationRequest.reportedReference]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0410"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0410
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0412"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] the certifying Client application **SHALL** support [MedicationRequest.reasonCode.]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0412"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0412
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0413"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] the certifying Client application **SHALL** support [MedicationRequest.reasonReference.]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0413"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0413
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0415"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] Clients **SHALL** support all target resources in MedicationRequest.reasonReference."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-medicationrequest.html#CONF-0415"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0415
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0476"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support both [the PractitionerRole profile and the Practitioner.address element]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-practitioner.html#CONF-0476"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0476
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0483"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program] … Clients **SHALL** support ... US Core Procedure Profile for communicating the reason or justification for a referral as Additional USCDI Requirements"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-procedure.html#CONF-0483"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0483
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0485"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] The certifying Client application **SHALL** support both [Procedure.reasonCode and Procedure.reasonReference]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-procedure.html#CONF-0485"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0485
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0487"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference … Clients **SHALL** support all target resources in Procedure.reasonReference"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-procedure.html#CONF-0487"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0487
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0517"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program] … Clients **SHALL** support ... US Core ServiceRequest Profile for communicating the reason or justification for a referral as Additional USCDI Requirements"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-servicerequest.html#CONF-0517"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0517
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0519"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] The certifying Client application **SHALL** support both [ServiceRequest.reasonCode and ServiceRequest.reasonReference]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-servicerequest.html#CONF-0519"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0519
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0521"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For organizations participating in the ONC Health IT Certification program,] when using ServiceRequest.reasonReference … Clients **SHALL** support all target resources in ServiceRequest.reasonReference"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-servicerequest.html#CONF-0521"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0521
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0525"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Client application **SHALL** support both [ Specimen.identifier and Specimen.accessionIdentifier]"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-specimen.html#CONF-0525"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-specimen.html#CONF-0525
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0551"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL** establish a risk analysis and management regime that conforms with HIPAA security regulatory requirements"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0551"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0551
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0553"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Federal systems **SHOULD** conform with the risk management and mitigation requirements defined in NIST 800 series documents."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0553"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0553
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0555"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Federal systems … **SHOULD** include security category assignment following NIST 800-60 vol. 2 Appendix D.14."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0555"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0555
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0557"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The coordination of risk management and the related security and privacy controls … **SHOULD** be defined in the Business Associate Agreement when available."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0557"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0557
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0559"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL** reference a single time source to establish a common time base for security auditing and clinical data records among computing systems."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0559"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0559
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0561"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The selected time service **SHOULD** be documented in the Business Associate Agreement when available."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0561"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0561
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0563"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL** keep audit logs of the various transactions."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0563"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0563
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0565"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL** use TLS version 1.2 or higher for all transmissions not taking place over a secure network connection."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0565"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0565
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0567"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "US Federal systems **SHOULD** conform with FIPS PUB 140-2."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0567"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0567
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0569"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL** conform to [FHIR Communications Security](http://hl7.org/fhir/R4/security.html#http) requirements."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0569"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0569
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0571"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "For Authentication and Authorization, Systems **SHALL** support any [SMART App Launch version](http://hl7.org/fhir/smart-app-launch/history.html) for Client <-> Server interactions."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0571"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0571
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0573"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHALL**  implement consent requirements per their state, local, and institutional policies."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0573"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0573
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0575"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The Business Associate Agreements **SHOULD** document systems’ mutual consent requirements."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0575"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0575
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0577"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **SHOULD** provide Provenance statements using the [US Core Provenance Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-provenance.html) resource and associated requirements."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0577"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0577
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0579"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **MAY**   implement the [FHIR Digital Signatures](http://hl7.org/fhir/R4/security.html#digital%20signatures)"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0579"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0579
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0581"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Systems **MAY**   protect the confidentiality of data at rest via encryption and associated access controls."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "security.html#patient-privacy-and-security"^^xsd:anyURI ;
         fhir:l fhir:security.html#patient-privacy-and-security ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "security.html#CONF-0581"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0581
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0815"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When the Server supports [ the _include search parameter], Clients **SHOULD** use the _include search parameter to retrieve referenced content instead of searching for a resource and then performing a separate search for other references (for example, Patient, Encounter, and Location) in the result set."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-guidance.html#client-best-practices-for-search"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#client-best-practices-for-search ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-guidance.html#CONF-0815"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0815
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0816"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "If the Server does not support the _include search parameter, Clients **SHOULD** consolidate duplicate searches before searching for referenced resources in the result set"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-guidance.html#client-best-practices-for-search"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#client-best-practices-for-search ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-guidance.html#CONF-0816"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0816
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0817"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHOULD-NOT"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v " **SHOULD  NOT** search the same data within the time stated in the `Cache-Control` header."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "general-guidance.html#client-best-practices-for-search"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#client-best-practices-for-search ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "general-guidance.html#CONF-0817"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0817
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0849"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "[For the US Core Observation Screening Assessment Profile,] the Client system ... **SHALL** support [both] Reference(US Core Observation Screening Assessment Profile) [and] Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0849"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0849
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0853"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The certifying Client application **SHALL** support the [[US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html)] on [the [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html)] ."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-patient.html#CONF-0853"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0853
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0854"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "The certifying Client application **SHALL** support the [[US Core Interpreter Needed Extension](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-interpreter-needed.html)] on [the [US Core Encounter Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html)]. "
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-patient.html#CONF-0854"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0854
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0869"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v " 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support.... Clients **SHALL** support both."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-simple-observation.html#CONF-0869"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-simple-observation.html#CONF-0869
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0882"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "When a Reference element is labeled as *Must Support* has multiple target profiles referenced, but none are labeled as *Must Support*\n\n...\n\n- US Core Requesters **SHALL** be capable of processing  [such an element]  with a valid reference to *at least one* target profile."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "must-support.html#must-support---resource-references"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---resource-references ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "must-support.html#CONF-0882"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0882
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0886"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "Servers can use the US Core Interpreter Needed Extension on this profile or the [US Core Patient Profile] to communicate whether a patient needs an interpreter…Client application **SHALL** support the extension on both profiles."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-encounter.html#CONF-0886"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0886
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0888"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "SHALL"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v " 'Observation.performer' target profiles [US Core Practitioner Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitioner.html) and [US Core Patient Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-patient.html) are labeled Must Support.... Clients **SHALL** support both."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-observation-screening-assessment.html#CONF-0888"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0888
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] [
     fhir:extension ( [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key>
       ] ;
       fhir:value [
         a fhir:Id ;
         fhir:v "CONF-0911"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance>
       ] ;
       fhir:value [
         a fhir:Code ;
         fhir:v "MAY"
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement>
       ] ;
       fhir:value [
         a fhir:Markdown ;
         fhir:v "API consumers **MAY**  query by category when accessing patient information."
       ]
     ] [
       fhir:url [
         fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference>
       ] ;
       fhir:value [
         a fhir:Url ;
         fhir:v "StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance ;
         fhir:extension ( [
           fhir:url [
             fhir:v "http://hl7.org/fhir/StructureDefinition/narrativeLink"^^xsd:anyURI ;
             fhir:l <http://hl7.org/fhir/StructureDefinition/narrativeLink>
           ] ;
           fhir:value [
             a fhir:Url ;
             fhir:v "StructureDefinition-us-core-servicerequest.html#CONF-0911"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0911
           ]
         ] )
       ]
     ] ) ;
     fhir:url [
       fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement>
     ]
  ] ) ; # 
  fhir:identifier ( [
     fhir:system [
       fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ;
       fhir:l <urn:ietf:rfc:3986>
     ] ;
     fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.2.36.2" ]
  ] ) ; # 
  fhir:code [
     fhir:coding ( [
       fhir:system [
         fhir:v "http://hl7.org/fhir/fhir-types"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/fhir-types>
       ] ;
       fhir:code [ fhir:v "Requirements" ]
     ] )
  ] . # 

# -------------------------------------------------------------------------------------