@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-server> a fhir:Basic ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "us-core-server"] ; # 
  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 (Server)</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-0001\">\n    <td>CONF-0001</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0001\">general-requirements.html#profile-only-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>To support a US Core Profile, a Server: <strong>SHALL</strong> Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0002\">\n    <td>CONF-0002</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0002\">general-requirements.html#profile-only-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To support a US Core Profile, a Server: <strong>SHOULD</strong> declare support for a US Core Profile by including its official URL in the Server’s <code>CapabilityStatement.rest.resource.supportedProfile</code> element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0003\">\n    <td>CONF-0003</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0003\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers <strong>MAY</strong> deploy and support one or more US Core Profiles to represent clinical information</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0004\">\n    <td>CONF-0004</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0004\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Server <strong>MAY</strong> deploy and support ... the following US Core interaction: “Quick Start” defined for each Profile</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0005\">\n    <td>CONF-0005</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0005\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Server <strong>MAY</strong> deploy and support ... the following US Core interaction: <a href=\"https://hl7.org/fhir/us/core/clinical-notes.html\">Clinical Notes</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0006\">\n    <td>CONF-0006</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0006\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Server <strong>MAY</strong> deploy and support ... the following US Core interaction: <a href=\"https://hl7.org/fhir/us/core/medication-list.html\">Medication List</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0007\">\n    <td>CONF-0007</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0007\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Server <strong>MAY</strong> deploy and support ... the following US Core interaction: <a href=\"https://hl7.org/fhir/us/core/basic-provenance.html\">Basic Provenance</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0008\">\n    <td>CONF-0008</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0008\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Server <strong>MAY</strong> deploy and support ... the following US Core interaction: <a href=\"https://hl7.org/fhir/us/core/screening-and-assessments.html\">Screening and Assessments</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0009\">\n    <td>CONF-0009</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0009\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers implementing ... [clinical information representation] can claim conformance to the US Core Profile content structure ... by implementing all or parts of the US Core CapabilityStatement into their capabilities.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0010\">\n    <td>CONF-0010</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0010\">general-requirements.html#profile-support--interaction-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers implementing ... [interactions] can claim conformance to the ... RESTful interactions defined by implementing all or parts of the US Core CapabilityStatement into their capabilities</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0013\">\n    <td>CONF-0013</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0013\">general-requirements.html#claiming-conformance-to-a-us-core-profile</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[To claim conformance to a US Core Profile] a conformant Server:</p>\n<p><strong>SHALL</strong> Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0014\">\n    <td>CONF-0014</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0014\">general-requirements.html#claiming-conformance-to-a-us-core-profile</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[To claim conformance to a US Core Profile] a conformant Server:</p>\n<p><strong>SHOULD</strong> declare conformance with the US <a href=\"https://hl7.org/fhir/us/core/CapabilityStatement-us-core-Server.html\">Core Server Capability Statement</a> by including its official URL in the Server’s <code>CapabilityStatement.instantiates</code> element: <code>http://hl7.org/fhir/us/core/CapabilityStatement/us-core-Server</code></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0015\">\n    <td>CONF-0015</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0015\">general-requirements.html#claiming-conformance-to-a-us-core-profile</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[To claim conformance to a US Core Profile] a conformant Server:</p>\n<p><strong>SHALL</strong> specify the full capability details from the US Core CapabilityStatement it claims to implement.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0016\">\n    <td>CONF-0016</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0016\">general-requirements.html#claiming-conformance-to-a-us-core-profile</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[To claim conformance to a US Core Profile] a conformant Server:</p>\n<p><strong>SHALL</strong>… Declare support for the US Core Profile by including its official URL in the Server’s CapabilityStatement.rest.resource.supportedProfile element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0017\">\n    <td>CONF-0017</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0017\">general-requirements.html#claiming-conformance-to-a-us-core-profile</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[To claim conformance to a US Core Profile] a conformant Server:</p>\n<p><strong>SHALL</strong>… Declare support for the US Core Profile’s FHIR RESTful transactions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0018\">\n    <td>CONF-0018</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0018\">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><a href=\"http://hl7.org/fhir/R4/terminologies.html#required\">Required binding</a> to a ValueSet definition means that one of the codes from the specified ValueSet <strong>SHALL</strong> be used.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0019\">\n    <td>CONF-0019</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0019\">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>For <code>CodeableConcept</code>, which permits multiple codings and a text element, this [<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\">Required binding</a> to a ValueSet definition] rule applies to at least one of the codings</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0020\">\n    <td>CONF-0020</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0020\">general-requirements.html#required-bindings-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL-NOT</td>\n    <td><div><p>For a [<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\">required binding</a> to a ValueSet definition], a <code>CodeableConcept</code>which permits multiple codings and a text element … [using] only text is not valid.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0021\">\n    <td>CONF-0021</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0021\">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 [required binding](http://hl7.org/fhir/R4/terminologies.html#required] to a ValueSet definition] US Core Responders <strong>SHALL</strong> provide a code exclusively from [the required binding] ValueSet</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0023\">\n    <td>CONF-0023</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0023\">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>[Extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) means that one of the codes from the specified value set <strong>SHALL</strong> be used when an appropriate concept exists;…</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0024\">\n    <td>CONF-0024</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0024\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[When using an [extensible Binding] (http://hl7.org/fhir/R4/terminologies.html#extensible)] If no suitable code exists in the [extensible] ValueSet, alternate code(s) <strong>MAY</strong>  be used..</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0026\">\n    <td>CONF-0026</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0026\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p>For <code>CodeableConcept</code> [with an [extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) … Text-only representation <strong>SHOULD NOT</strong> be used - coded values are expected whenever possible to support interoperability.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0027\">\n    <td>CONF-0027</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0027\">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>When claiming conformance to ... [to a US Core profile extensible binding rule, a] US Core Responders <strong>SHALL</strong> provide:\nA code from … [the] valueset 'DataElement.code.code' if the concept exists in the valueset [for a DataElement.code that has an extensible binding]\nOr an alternative code if the concept does not exist in the valueset [for a DataElement.code that has an extensible binding]\nOr text in ... `[DataElement.code.text]’ if only text is available [for a DataElement.code that has an extensible binding]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0029\">\n    <td>CONF-0029</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0029\">general-requirements.html#translations</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Alternate codes <strong>MAY</strong> be provided in addition to the standard codes defined in required or extensible ValueSets. These alternate codes are called \"additional codings\".</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0030\">\n    <td>CONF-0030</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0030\">general-requirements.html#translations</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[The additional codings] <strong>MAY</strong> be equivalent to or narrower in meaning than the standard concept code.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0033\">\n    <td>CONF-0033</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0033\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Not all modifier elements are Mandatory or Must Support, and there is no requirement for supporting them</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0034\">\n    <td>CONF-0034</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0034\">general-requirements.html#modifier-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers <strong>MAY</strong>  communicate a system-wide profile in their CapabilityStatement to identify which additional elements, including modifier elements, they support</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0039\">\n    <td>CONF-0039</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0039\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If the source system does not have data for an element with a minimum cardinality = 0 (including elements labeled Must Support), the data element <strong>SHALL</strong> be omitted from the resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0040\">\n    <td>CONF-0040</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0040\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If the data element is a Mandatory element (in other words, where the minimum cardinality is &gt; 0), it <strong>SHALL</strong> be present even if the source system does not have data.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0041\">\n    <td>CONF-0041</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0041\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For [mandatory] non-coded data elements [where data is not available], use the <a href=\"http://hl7.org/fhir/R4/extension-data-absent-reason.html\">DataAbsentReason Extension</a> in the data type ... [with] the code <code>unknown</code> - The value is expected to exist but is not known.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0042\">\n    <td>CONF-0042</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0042\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements … [with] <em>example</em>, <em>preferred</em>, or <em>extensible</em> binding strengths (CodeableConcept or Coding datatypes) If the source system has text but no coded data, only the text element is used.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0043\">\n    <td>CONF-0043</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0043\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements… [with] <em>example</em>, <em>preferred</em>, or <em>extensible</em> binding strengths (CodeableConcept or Coding datatypes):\nFor Coding datatypes, the text-only data is represented as a display element</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0044\">\n    <td>CONF-0044</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0044\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements… [with] <em>example</em>, <em>preferred</em>, or <em>extensible</em> binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] use the appropriate “unknown” concept code from the ValueSet if available.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0045\">\n    <td>CONF-0045</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0045\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements… [with] <em>example</em>, <em>preferred</em>, or <em>extensible</em> binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] if the ValueSet does not have the appropriate “unknown” concept code, use unknown from the <a href=\"http://hl7.org/fhir/R4/codesystem-data-absent-reason.html\">DataAbsentReason Code System</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0046\">\n    <td>CONF-0046</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0046\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements… [with] <em>required</em> binding strength (CodeableConcept or code datatypes): use the appropriate “unknown” concept code from the ValueSet if available</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0047\">\n    <td>CONF-0047</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0047\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In situations where data is not available] for [mandatory] coded data elements… [with] <em>required</em> binding strength (CodeableConcept or code datatypes): If the ValueSet does not have the appropriate “unknown” concept code, you must use a concept from the ValueSet. Otherwise, the instance will not be conformant</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0048\">\n    <td>CONF-0048</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0048\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[If the source system does not have data for a Mandatory element for a coded data element with <em>required</em> binding strength] If any of these status codes is missing [meaning it lacks an \"unknown\" or otherwise appropriate concept code from the ValueSet, a] 404 HTTP error code and an OperationOutcome <strong>SHALL</strong> be returned in response to a read transaction on the resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0049\">\n    <td>CONF-0049</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0049\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[If the source system does not have data for a Mandatory element for a coded data element with <em>required</em> binding strength, and the ValueSet does not have the appropriate \"unknown\" concept code, then] if returning a response to a search, the problematic resource <strong>SHALL</strong> be excluded from the search set</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0050\">\n    <td>CONF-0050</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0050\">general-requirements.html#missing-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If the source system does not have data for a Mandatory element for a coded data element with <em>required</em> binding strength, and the ValueSet does not have the appropriate \"unknown\" concept code, then] if returning a response to a search, … a <em>warning</em> OperationOutcome <strong>SHOULD</strong> be included indicating that other search results were found but could not be compliantly expressed and have been suppressed.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0051\">\n    <td>CONF-0051</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0051\">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>The <a href=\"http://hl7.org/fhir/R4/http.html#search\">FHIR RESTful Search API</a> requires that Servers that support search <strong>SHALL</strong> support the HTTP <code>POST</code>-based search.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0052\">\n    <td>CONF-0052</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0052\">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>For all the supported search interactions in this guide, Servers <strong>SHALL</strong> also support the <code>GET</code>-based search.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0055\">\n    <td>CONF-0055</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0055\">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 Server <strong>SHALL</strong> support both [system and code values]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0058\">\n    <td>CONF-0058</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0058\">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 Server <strong>SHALL</strong> support both [id and Type values]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0061\">\n    <td>CONF-0061</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0061\">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 Server <strong>SHALL</strong> support values precise to the day for elements of datatype <code>date</code></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0062\">\n    <td>CONF-0062</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0062\">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 Server <strong>SHALL</strong> support values precise … to the second + time offset for elements of <code>datatype</code> dateTime</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0063\">\n    <td>CONF-0063</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0063\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers <strong>SHOULD</strong> support a query for resources without requiring a status parameter.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0064\">\n    <td>CONF-0064</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0064\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If business requirements prohibit [querying a resource without a status parameter], they <strong>SHALL</strong> follow the guidelines here.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0065\">\n    <td>CONF-0065</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0065\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>For searches where the Client does not supply a status parameter, an implementation’s business rules <strong>MAY</strong> override the FHIR RESTful search expectations and require a status parameter to be provided</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0066\">\n    <td>CONF-0066</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0066\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:</p>\n<p><strong>SHALL</strong> return an HTTP 400 status</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0067\">\n    <td>CONF-0067</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0067\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:</p>\n<p><strong>SHALL</strong> return an <a href=\"http://hl7.org/fhir/R4/operationoutcome.html\">OperationOutcome</a> specifying that status(es) must be present.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0068\">\n    <td>CONF-0068</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0068\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:</p>\n<p><strong>SHALL</strong> support search with status if status required</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0069\">\n    <td>CONF-0069</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0069\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL-NOT</td>\n    <td><div><p><strong>SHALL NOT</strong> restrict search results ( i.e., apply ‘hidden’ filters) when a Client includes status parameters in the query.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0070\">\n    <td>CONF-0070</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0070\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried, it <strong>SHOULD</strong> return an HTTP 200 status with a search bundle.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0071\">\n    <td>CONF-0071</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0071\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle <strong>SHOULD</strong> contain resources matching the search criteria</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0072\">\n    <td>CONF-0072</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0072\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle <strong>SHOULD</strong> contain ... an OperationOutcome warning the Client which status code value is not supported.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0073\">\n    <td>CONF-0073</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0073\">general-requirements.html#search-for-Servers-requiring-status</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:...</p>\n<p><strong>SHALL</strong> document this behavior in its CapabilityStatement for the “search-type” interaction in <code>CapabilityStatement.rest.resource.interaction.documentation.</code></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0075\">\n    <td>CONF-0075</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0075\">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 Responders <strong>SHALL</strong> be capable of populating all data elements as part of the query results specified by the <a href=\"https://hl7.org/fhir/us/core/STU8/CapabilityStatement-us-core-Server.html\">US Core Server Capability Statement</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0078\">\n    <td>CONF-0078</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0078\">must-support.html#must-support-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL-NOT</td>\n    <td><div><p><strong>SHALL NOT</strong> include the data elements in the resource instance returned as part of the query results.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0080\">\n    <td>CONF-0080</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0080\">must-support.html#must-support-el+D647ements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</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>In cases where information on a specific data element is missing, and the US Core Responder knows the precise reason for the absence of data (other than suppressed data), US Core Responders <strong>SHOULD</strong> send the reason for the missing information.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0081\">\n    <td>CONF-0081</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0081\">must-support.html#must-support-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When sending reason for missing information, follow] the same methdology outlined in the <a href=\"https://hl7.org/fhir/us/core/STU8/general-requirements.html#missing-data\">Missing Data</a> section but using the appropriate reason code instead of unknown [reason code].</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0084\">\n    <td>CONF-0084</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0084\">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 Responders] 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-0086\">\n    <td>CONF-0086</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0086\">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 Responders] [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-0087\">\n    <td>CONF-0087</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0087\">must-support.html#defined-pattern-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If an element is marked as Must Support and defined by a pattern [as described by <a href=\"http://hl7.org/fhir/R4/elementdefinition-definitions.html#ElementDefinition.pattern_x_\">ElementDefinition.pattern</a>], then the pattern defines the elements and element values that the Server <strong>SHALL</strong> be capable of providing.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0090\">\n    <td>CONF-0090</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0090\">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>Primitive elements are single elements with a primitive value. If they are marked as Must Support, then the Server <strong>SHALL</strong> be capable of providing the element value to meet the Must Support requirement.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0091\">\n    <td>CONF-0091</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0091\">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 responders <strong>SHALL</strong> be  capable of providing the value [of the primitive element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0093\">\n    <td>CONF-0093</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0093\">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>For any complex element marked as Must Support, the Server <strong>SHALL</strong> be capable of providing at least one of the sub-element values.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0094\">\n    <td>CONF-0094</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0094\">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>If any sub-element is marked as Must Support [for a complex element], it <strong>SHALL</strong> also meet the Must Support requirements and satisfy the Must Support requirements for the parent element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0095\">\n    <td>CONF-0095</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0095\">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>[I]f any sub-element is marked as Must Support or Additional USCDI [for a complex element] and the parent element is not, there is no expectation that you must support the parent.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0096\">\n    <td>CONF-0096</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0096\">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>[I]f any sub-element is marked as Must Support [for a complex element] and the parent element is not… [and] the parent element is present in an instance, Servers <strong>SHALL</strong> support the sub-element(s) marked as Must Support.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0097\">\n    <td>CONF-0097</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0097\">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 Responders <strong>SHALL</strong> be  capable of providing a value in [the] sub-element</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0099\">\n    <td>CONF-0099</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0099\">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 Responders <strong>SHALL</strong> be  capable of providing a value in [each must support sub-element]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0101\">\n    <td>CONF-0101</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0101\">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 Responders] 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-0105\">\n    <td>CONF-0105</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0105\">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-0107\">\n    <td>CONF-0107</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0107\">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 Responders] 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-0109\">\n    <td>CONF-0109</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0109\">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-0111\">\n    <td>CONF-0111</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0111\">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 Responders <strong>SHALL</strong> be capable of populating [the Must Support  data type choice]</li>\n</ul>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0114\">\n    <td>CONF-0114</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0114\">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 Responders] <strong>MAY</strong>  support populating ... 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-0115\">\n    <td>CONF-0115</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0115\">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 Server  or Certifying System <strong>SHALL</strong> support at least one element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0117\">\n    <td>CONF-0117</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0117\">scopes.html#capability-sets</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>An individual SMART Server will publish a granular list of its capabilities, and a set of these capabilities is combined to support a specific use, a Capability Set. See SMART App Launch’s <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities\">FHIR OAuth authorization Endpoints and Capabilities</a> for more details. Servers <strong>MAY</strong>  support ... [any] SMART on FHIR Capability Sets and capabilities [(see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities\">FHIR OAuth authorization Endpoints and Capabilities</a>)]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0118\">\n    <td>CONF-0118</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0118\">scopes.html#capabilities-for-implementations-supporting-user-facing-applications</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>At least one of the following SMART on FHIR Capability Sets <strong>SHOULD</strong> be supported for US Core Servers that support User-Facing Applications ...\n<a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps\">Patient Access Standalone Apps</a>\n<a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone\">Clinician Access for EHR Launch</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0119\">\n    <td>CONF-0119</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0119\">scopes.html#capabilities-for-implementations-supporting-user-facing-applications</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For certified systems[, those participating in the ONC IT Health Certification program], both <strong>SHALL</strong> be  supported:\n<a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps\">Patient Access Standalone Apps</a>\n<a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone\">Clinician Access for EHR Launch</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0120\">\n    <td>CONF-0120</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0120\">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 Responders] supporting Backend Services ... <strong>SHALL</strong>  include support for the Client-confidential-asymmetric capability.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0121\">\n    <td>CONF-0121</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0121\">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 Responders] supporting Backend Services ... <strong>SHALL</strong>  include support for the ... system/scopes.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0123\">\n    <td>CONF-0123</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0123\">scopes.html#us-core-Servers-shall-support-token-introspection</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>US Core Server[s] <strong>SHALL</strong> support token introspection defined by the SMART App Launch Guide. For more details and additional consideration, see SMART App Launch’s <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/token-introspection.html#token-introspection\">Token Introspection</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0125\">\n    <td>CONF-0125</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0125\">scopes.html#smart-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Other systems <strong>MAY</strong>  support scopes for the US Core APIs they support [instead of all US Core's required scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0126\">\n    <td>CONF-0126</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0126\">scopes.html#smart-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers <strong>MAY</strong>  support other scopes in addition to those listed below and in the Quick Start sections.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0128\">\n    <td>CONF-0128</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0128\">scopes.html#us-core-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the <a href=\"https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets\">capability sets</a> above). For example, if a Server lists permission-patient and permission-user in its capabilities, it <strong>SHALL</strong> support both patient-level and user-level required scopes</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0129\">\n    <td>CONF-0129</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0129\">scopes.html#us-core-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the <a href=\"https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets\">capability sets</a> above). For example, if a Server lists permission-patient and permission-user in its capabilities, it ... <strong>SHOULD</strong> support both patient-level and user-level recommended best-practice scopes</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0130\">\n    <td>CONF-0130</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0130\">scopes.html#us-core-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes <strong>SHALL</strong> support the required US Core scopes</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0131\">\n    <td>CONF-0131</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0131\">scopes.html#us-core-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes <strong>SHOULD</strong> support the recommended US Core scopes</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0132\">\n    <td>CONF-0132</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0132\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0132\">StructureDefinition-us-core-allergyintolerance.html#us-core-scopes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] AllergyIntolerance [the] &lt;patient|user|system&gt;/AllergyIntolerance.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0133\">\n    <td>CONF-0133</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0133\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] CarePlan [the] &lt;patient|user|system&gt;/CarePlan.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0134\">\n    <td>CONF-0134</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0134\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] CareTeam [the] &lt;patient|user|system&gt;/CareTeam.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0135\">\n    <td>CONF-0135</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0135\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Condition [the] &lt;patient|user|system&gt;/Condition.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0136\">\n    <td>CONF-0136</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0136\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Coverage [the] &lt;patient|user|system&gt;/Coverage.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0137\">\n    <td>CONF-0137</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0137\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Device [the] &lt;patient|user|system&gt;/Device.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0138\">\n    <td>CONF-0138</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0138\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] DiagnosticReport [the] &lt;patient|user|system&gt;/DiagnosticReport.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0139\">\n    <td>CONF-0139</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0139\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] DocumentReference [the] &lt;patient|user|system&gt;/DocumentReference.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0140\">\n    <td>CONF-0140</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0140\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Encounter [the] &lt;patient|user|system&gt;/Encounter.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0141\">\n    <td>CONF-0141</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0141\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Goal [the] &lt;patient|user|system&gt;/Goal.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0142\">\n    <td>CONF-0142</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0142\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Immunization [the] &lt;patient|user|system&gt;/Immunization.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0143\">\n    <td>CONF-0143</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0143\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] MedicationDispense [the] &lt;patient|user|system&gt;/MedicationDispense.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0144\">\n    <td>CONF-0144</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0144\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] MedicationRequest [the] &lt;patient|user|system&gt;/MedicationRequest.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0145\">\n    <td>CONF-0145</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0145\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0146\">\n    <td>CONF-0146</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0146\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Organization [the] &lt;patient|user|system&gt;/Organization.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0147\">\n    <td>CONF-0147</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0147\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Patient [the] &lt;patient|user|system&gt;/Patient.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0148\">\n    <td>CONF-0148</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0148\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Practitioner [the] &lt;patient|user|system&gt;/Practitioner.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0149\">\n    <td>CONF-0149</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0149\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] PractitionerRole [the] &lt;patient|user|system&gt;/PractitionerRole.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0150\">\n    <td>CONF-0150</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0150\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Procedure [the] &lt;patient|user|system&gt;/Procedure.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0151\">\n    <td>CONF-0151</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0151\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Provenance [the] &lt;patient|user|system&gt;/Provenance.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0152\">\n    <td>CONF-0152</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0152\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] QuestionnaireResponse [the] &lt;patient|user|system&gt;/QuestionnaireResponse.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0153\">\n    <td>CONF-0153</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0153\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] RelatedPerson [the] &lt;patient|user|system&gt;/RelatedPerson.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0154\">\n    <td>CONF-0154</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0154\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] ServiceRequest [the] &lt;patient|user|system&gt;/ServiceRequest.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0155\">\n    <td>CONF-0155</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0155\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] Specimen [the] &lt;patient|user|system&gt;/Specimen.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0156\">\n    <td>CONF-0156</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0156\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>MAY</strong>  be supported\n...\n[For] Location [the] &lt;patient|user|system&gt;/Location.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0157\">\n    <td>CONF-0157</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0157\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>MAY</strong>  be supported\n...\n[For] Medication [the] &lt;patient|user|system&gt;/Medication.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0158\">\n    <td>CONF-0158</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0158\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Condition [the] &lt;patient|user|system&gt;/Condition.rs?category=http://hl7.org/fhir/us/core/CodeSystem/condition-category|health-concern [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0159\">\n    <td>CONF-0159</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0159\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Condition [the] &lt;patient|user|system&gt;/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|encounter-diagnosis [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0160\">\n    <td>CONF-0160</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0160\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Condition [the] &lt;patient|user|system&gt;/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0161\">\n    <td>CONF-0161</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0161\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-category|sdoh [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0162\">\n    <td>CONF-0162</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0162\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs?category=http://terminology.hl7.org//CodeSystem-observation-category|social-history [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0163\">\n    <td>CONF-0163</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0163\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0164\">\n    <td>CONF-0164</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0164\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|survey [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0165\">\n    <td>CONF-0165</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0165\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following granular scopes <strong>SHALL</strong> be supported\n...\n[For] Observation [the] &lt;patient|user|system&gt;/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0166\">\n    <td>CONF-0166</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0166\">scopes.html#granular-scopes-for-requesting-fhir-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The following granular scopes <strong>SHOULD</strong> be supported\n...\n[For] DocumentReference [the] &lt;patient|user|system&gt;/DocumentReference.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category|clinical-note [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0167\">\n    <td>CONF-0167</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0167\">scopes.html#Servers-shall-support-the-following-metadata-in-their-well-knownsmart-configuration</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>In addition to the capabilities defined in the Server’s CapabilityStatement, Servers <strong>SHALL</strong> document their SMART capabilities in their <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known\">Well-Known Uniform Resource Identifiers (URIs)</a> JSON file.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0168\">\n    <td>CONF-0168</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0168\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</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 Server <strong>SHALL</strong> list all the required US Core Scopes for the US Core Profiles they support in the scopes_supported array</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0169\">\n    <td>CONF-0169</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0169\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</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 Server [MAY support] additional scopes (so Clients <strong>SHOULD</strong>not consider … [the required scopes] an exhaustive list).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0170\">\n    <td>CONF-0170</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0170\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</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. Servers <strong>MAY</strong>   limit Clients’ scopes to those configured at registration time.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0171\">\n    <td>CONF-0171</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0171\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</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. … Servers <strong>SHALL</strong> allow users to select a subset of the requested scopes at the approval time.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0173\">\n    <td>CONF-0173</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0173\">scopes.html#additional-us-core-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</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>introspection_endpoint</code> the URL to a Server’s introspection endpoint. ... Servers <strong>SHALL</strong> document this endpoint in the file</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0174\">\n    <td>CONF-0174</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0174\">general-guidance.html#referencing-us-core-profiles</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Therefore, a <a href=\"http://hl7.org/fhir/R4/references.html\">reference</a> to a US Core resource <strong>SHOULD</strong> include a logical id (Reference.reference), not an identifier (Reference.identifier).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0175\">\n    <td>CONF-0175</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0175\">general-guidance.html#referencing-us-core-profiles</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For all references, US Core Responders <strong>SHOULD</strong> return resources that conform to a US Core profile if a US Core profile exists for the resource type.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0176\">\n    <td>CONF-0176</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0176\">general-guidance.html#contained-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p>When responding to a query, Servers <strong>SHOULD</strong> not use inline <a href=\"http://hl7.org/fhir/R4/references.html#contained\">contained</a> resources to represent the returned data.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0177\">\n    <td>CONF-0177</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0177\">general-guidance.html#contained-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[I]f referencing a contained resource in a US Core Profile, the contained resource <strong>SHOULD</strong> be a US Core Profile if a US Core Profile exists for the resource type.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0178\">\n    <td>CONF-0178</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0178\">general-guidance.html#contained-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[M]asking data [where a specific piece of data is hidden for security and privacy reasons] <strong>SHOULD</strong> be handled based on implemented policies.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0179\">\n    <td>CONF-0179</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0179\">general-guidance.html#contained-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When masking data] elements with a minimum cardinality = 0 (including elements labeled Must Support) [for security and privacy reasons], the element <strong>SHOULD</strong> be omitted from the resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0180\">\n    <td>CONF-0180</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0180\">general-guidance.html#contained-resources</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When masking] Mandatory elements (in other words, where the minimum cardinality is &gt; 0) [for security and privacy reasons, use the code “unknown” following the guidance on Missing Data in the Conformance Sections.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0181\">\n    <td>CONF-0181</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0181\">general-guidance.html#snomed-ct-united-states-edition</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[When using SNOMED codes in US Core Profiles I]mplementers <strong>MAY</strong>   use the default system URI [of <a href=\"http://snomed.info/sct\">SNOMED CT</a>], which refers to an unspecified edition/version [of SNOMED]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0182\">\n    <td>CONF-0182</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0182\">general-guidance.html#snomed-ct-united-states-edition</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[To enable] terminology Servers to be able to validate US Edition-only codes [of <a href=\"http://snomed.info/sct\">SNOMED CT</a>], implementers <strong>SHOULD</strong> provide the accompanying system URI to describe the edition [see example 2 on <a href=\"https://hl7.org/fhir/us/core/STU8/general-guidance.html#snomed-ct-united-states-edition\">US Core general guidance</a>]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0183\">\n    <td>CONF-0183</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0183\">general-guidance.html#using-ucum-codes-in-the-quantity-datatype</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the <a href=\"http://unitsofmeasure.org/\">UCUM</a> code system, [then] systems <strong>SHOULD</strong>also use UCUM for the optional valueRange and valueRatio datatypes (which are complex datatypes with Quantity elements)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0184\">\n    <td>CONF-0184</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0184\">general-guidance.html#using-ucum-codes-in-the-quantity-datatype</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the <a href=\"http://unitsofmeasure.org/\">UCUM</a> code system, [when] UCUM code [is] provided [it <strong>SHOULD</strong> be indicated in the Quantity.unit and Quantity.code elements with Quantity.system = \"http://unitsofmeasure.org\"]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0185\">\n    <td>CONF-0185</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0185\">general-guidance.html#using-ucum-codes-in-the-quantity-datatype</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the <a href=\"http://unitsofmeasure.org/\">UCUM</a> code system, [then] if UCUM units are unavailable, represent units in the unit element</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0186\">\n    <td>CONF-0186</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0186\">general-guidance.html#using-ucum-codes-in-the-quantity-datatype</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p><strong>SHOULD  NOT</strong> supply the unit field]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0187\">\n    <td>CONF-0187</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0187\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p>A FHIR Server <strong>SHOULD</strong> not delete records.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0188\">\n    <td>CONF-0188</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0188\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>A FHIR Server <strong>SHOULD</strong> update the appropriate resource status to entered-in-error or inactive [when requested to delete records]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0189\">\n    <td>CONF-0189</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0189\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If a system supports the deletion of records, they <strong>SHOULD</strong> refer to the <a href=\"http://hl7.org/fhir/R4/safety.html#conformance\">Deletion Safety Checks</a> in the FHIR specification.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0190\">\n    <td>CONF-0190</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0190\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>A FHIR Server <strong>SHOULD</strong> allow these resources [those entered in error] to be searchable by Client applications.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0191\">\n    <td>CONF-0191</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0191\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If the FHIR Server has updated the resource status to entered-in-error:\nFor patient facing applications, A FHIR Server <strong>SHOULD</strong> remove the resource’s contents, leaving only an id and status. Note that this typically will not conform to the US Core or FHIR StructureDefinitions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0192\">\n    <td>CONF-0192</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0192\">general-guidance.html#representing-deleted-and-entered-in-error-information</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>If the FHIR Server has updated the resource status to entered-in-error:\n...\nFor provider-facing applications, the content <strong>MAY</strong> be supplied with content and additional detail (such as the reason for the status change) that the patient viewing system would typically not have access to.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0193\">\n    <td>CONF-0193</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0193\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>the data provider <strong>SHOULD</strong> do their best to translate (safely) to the requested language [when accessing records in a native or requested language]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0195\">\n    <td>CONF-0195</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0195\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When Clients request a resource in a specific language] Servers <strong>SHOULD</strong> make reasonable efforts to translate what can be safely translated.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0196\">\n    <td>CONF-0196</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0196\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When Clients request a resource in a specific language] Servers <strong>SHOULD</strong> populate the Resource’s language element with a code based on the underlying language of record, not the requested language.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0197\">\n    <td>CONF-0197</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0197\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When Clients request a resource in a specific language] Servers <strong>SHOULD</strong> … [use] the <a href=\"http://hl7.org/fhir/R4/extension-language.html\">Human Language</a> Extension when the language of a display, etc, is known to differ from the stated (or inferred) language.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0198\">\n    <td>CONF-0198</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0198\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When Clients request a resource in a specific language] [Servers <strong>SHOULD</strong> use] the <a href=\"http://hl7.org/fhir/R4/extension-translation.html\">Translation</a> Extension when the Server provides additional translations by its own choice or in response to a different Accept-Language than what the resource is stored in.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0199\">\n    <td>CONF-0199</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0199\">general-guidance.html#language-support</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When Clients request a resource in a specific language] Servers <strong>SHOULD</strong> make it known what languages are supported in their CapabilityStatement(s) using this extension:\nhttp://hl7.org/fhir/5.0/StructureDefinition/extension-CapablilityStatement.acceptLanguage [<a href=\"https://hl7.org/fhir/R5/capabilitystatement-definitions.html#CapabilityStatement.acceptLanguage\">definition</a>]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0200\">\n    <td>CONF-0200</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0200\">general-guidance.html#searching-using-lastupdated</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers <strong>SHOULD</strong> support the <a href=\"http://hl7.org/fhir/R4/search.html#lastUpdated\">_lastUpdated</a> search parameter for US Core Profiles</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0201\">\n    <td>CONF-0201</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0201\">general-guidance.html#searching-using-lastupdated</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers ... <strong>SHOULD</strong> populate <a href=\"http://hl7.org/fhir/R4/resource.html#Meta\">Resource.meta.lastUpdated</a> for US Core Profiles as accurately as possible.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0202\">\n    <td>CONF-0202</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0202\">general-guidance.html#searching-using-lastupdated</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> document in CapabilityStatement.rest.resource.searchParam.documentation the types of changes that can be detected using the _lastUpdated search parameter</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0203\">\n    <td>CONF-0203</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0203\">general-guidance.html#compartment-based-search</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>US Core Servers [MAY support compartment based searchs, but] are not required to support patient <a href=\"http://hl7.org/fhir/R4/compartmentdefinition.html\">compartment</a> based searches.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0204\">\n    <td>CONF-0204</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0204\">general-guidance.html#across-platform-searches</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>US Core Servers [MAY resolve absolute URLs, but] are not required to resolve absolute URLs external to their environment.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0205\">\n    <td>CONF-0205</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-guidance.html#CONF-0205\">general-guidance.html#limiting-the-number-of-search-results</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Servers can [MAY] choose to return the results in a series of pages to manage the number of search results returned.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0206\">\n    <td>CONF-0206</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0206\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0206\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/11488-4.html\">Consultation Note (11488-4)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0207\">\n    <td>CONF-0207</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0207\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0207\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/18842-5.html\">Discharge Summary (18842-5)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0208\">\n    <td>CONF-0208</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0208\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0208\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/34117-2.html\">History &amp; Physical Note (34117-2)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0209\">\n    <td>CONF-0209</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0209\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0209\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/28570-0.html\">Procedures Note (28570-0)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0210\">\n    <td>CONF-0210</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0210\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0210\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/11506-3.html\">Progress Note (11506-3)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0211\">\n    <td>CONF-0211</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0211\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0211\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/18748-4.html\">Imaging Narrative (18748-4)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0212\">\n    <td>CONF-0212</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0212\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0212\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/11502-2.html\">Laboratory Report Narrative (11502-2)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0213\">\n    <td>CONF-0213</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0213\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0213\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/11526-1.html\">Pathology Report Narrative (11526-1)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0214\">\n    <td>CONF-0214</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0214\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0214\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … DiagnosticReport categories:\n<a href=\"https://loinc.org/LP29708-2\">Cardiology (LP29708-2)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0215\">\n    <td>CONF-0215</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0215\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0215\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … DiagnosticReport categories:\n<a href=\"https://loinc.org/LP7839-6\">Pathology (LP7839-6)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0216\">\n    <td>CONF-0216</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0216\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0216\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … DiagnosticReport categories:\n<a href=\"https://loinc.org/LP29684-5\">Radiology (LP29684-5)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0217\">\n    <td>CONF-0217</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0217\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>systems are encouraged to support other common notes types, such as:\n<a href=\"https://loinc.org/57133-1.html\">Referral Note (57133-1)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0219\">\n    <td>CONF-0219</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0219\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>systems are encouraged to support other common notes types, such as:\n<a href=\"https://loinc.org/34746-8.html\">Nurse Note (34746-8)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0220\">\n    <td>CONF-0220</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0220\">clinical-notes.html#fhir-resources-to-exchange-clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>To enable consistent access to scanned DiagnosticReport clinical reports, the FHIR Server <strong>SHALL</strong> expose these overlapping scanned or narrative-only reports through both DiagnosticReport and DocumentReference by representing the same attachment URL [as] DocumentReference.content.attachment.url [and]\nDiagnosticReport.presentedForm.url</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0221\">\n    <td>CONF-0221</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0221\">clinical-notes.html#fhir-resources-to-exchange-clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>when DiagnosticReport.presentedForm.url references a Scan (PDF), that Attachment <strong>SHALL</strong> also be accessible through DocumentReference.content.attachment.url</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0222\">\n    <td>CONF-0222</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0222\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems [Servers] <strong>MAY</strong> extend their capabilities [around types of clinical notes] to the complete US Core DocumentReference Type Value Set.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0223\">\n    <td>CONF-0223</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0223\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems  <strong>SHALL</strong> implement the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-documentreference.html\">US Core DocumentReference Profile</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0224\">\n    <td>CONF-0224</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0224\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong>  implement the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-diagnosticreport-note.html\">US Core DiagnosticReport Profile for Report and Note exchange</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0225\">\n    <td>CONF-0225</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0225\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems [Servers] <strong>MAY</strong> support other [DiagnosticReport] categories as well.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0227\">\n    <td>CONF-0227</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0227\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The following <strong>SHOULD</strong> be exposed via DiagnosticReport: Imaging Narrative</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0228\">\n    <td>CONF-0228</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0228\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The following <strong>SHOULD</strong> be exposed via DiagnosticReport: Laboratory Report Narrative</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0229\">\n    <td>CONF-0229</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0229\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The following <strong>SHOULD</strong> be exposed via DiagnosticReport: Pathology Report Narrative</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0230\">\n    <td>CONF-0230</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0230\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The following <strong>SHOULD</strong> be exposed via DiagnosticReport: Procedure Note</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0231\">\n    <td>CONF-0231</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0231\">clinical-notes.html#support-requirements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers that support DiagnosticReport <strong>SHALL</strong>  include the clinical note narrative content in  <code>DiagnosticReport.presentedForm</code></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0233\">\n    <td>CONF-0233</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0233\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>FHIR Server claiming support to this guide <strong>SHOULD</strong> support the $expand operation [<a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">operation link</a> to provide information to Clients requesting information on the note and report types the Server supports]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0234\">\n    <td>CONF-0234</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0234\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&amp;contextDirection=outgoing for DiagnosticReport report category discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0235\">\n    <td>CONF-0235</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0235\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&amp;contextDirection=incoming for DiagnosticReport report category discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0236\">\n    <td>CONF-0236</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0236\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&amp;contextDirection=outgoing for DiagnosticReport report type discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0237\">\n    <td>CONF-0237</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0237\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&amp;contextDirection=incoming for DiagnosticReport report type discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0238\">\n    <td>CONF-0238</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0238\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&amp;contextDirection=outgoing for DocumentReference note category discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0239\">\n    <td>CONF-0239</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0239\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&amp;contextDirection=incoming for DocumentReference note category discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0240\">\n    <td>CONF-0240</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0240\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&amp;contextDirection=outgoing for DocumentReference note type discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0241\">\n    <td>CONF-0241</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0241\">clinical-notes.html#using-expand</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation for discovering note and report types, then Servers <strong>SHALL</strong> support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&amp;contextDirection=incoming for DocumentReference note type discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0242\">\n    <td>CONF-0242</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0242\">clinical-notes.html#discovering-Server-read-and-write-formats</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&amp;contextDirection=outgoing for DiagnosticReport report content type discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0243\">\n    <td>CONF-0243</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0243\">clinical-notes.html#discovering-Server-read-and-write-formats</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&amp;contextDirection=incoming for DiagnosticReport report content type discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0244\">\n    <td>CONF-0244</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0244\">clinical-notes.html#discovering-Server-read-and-write-formats</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&amp;contextDirection=outgoing for DocumentReference note content type discovery [for read operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0245\">\n    <td>CONF-0245</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0245\">clinical-notes.html#discovering-Server-read-and-write-formats</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If Servers support the <a href=\"http://hl7.org/fhir/R4/valueset-operation-expand.html\">$expand</a> operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&amp;contextDirection=incoming for DocumentReference note content type discovery [for write operations]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0247\">\n    <td>CONF-0247</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0247\">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>When using a code [to represent a medication][, the code <strong>SHALL</strong> follow the <a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\">extensible</a> binding rules to <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion\">Medication Clinical Drug (RxNorm)</a> - i.e., unless RxNorm does not cover the concept, the RxNorm code <strong>SHALL</strong> be  used.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0248\">\n    <td>CONF-0248</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0248\">medication-list.html#options-for-representing-medication</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0248\">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-0248\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medication.html#CONF-0248\">StructureDefinition-us-core-medication.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>USCDI recommends the <a href=\"https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory\">National Drug Codes (NDC)</a> as an optional medication terminology. They <strong>MAY</strong>  be supplied as an additional coding element [when representing a medication]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0249\">\n    <td>CONF-0249</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0249\">medication-list.html#options-for-representing-medication</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>When referencing the Medication resource, the resource <strong>MAY</strong> be included in the returned bundle, as an external resource, or as a <a href=\"http://hl7.org/fhir/R4/references.html#contained\">contained</a> resource if it can’t stand alone. … The Server application <strong>MAY</strong>  choose any combination of these methods</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0250\">\n    <td>CONF-0250</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0250\">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>if an external reference to Medication is used, the Server <strong>SHALL</strong> support the <a href=\"http://hl7.org/fhir/R4/search.html#include\">_include</a> parameter for searching this element</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0252\">\n    <td>CONF-0252</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0252\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nA MedicationRequest resource query <strong>SHALL</strong> be all that is required to access \"all medications\" or \"all active medications\" for a patient. (In other words, no other medication resource type needs to be fetched)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0253\">\n    <td>CONF-0253</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0253\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nThe [MedicationRequest resource] query result <strong>SHALL</strong> include all MedicationRequest resources with a <code>MedicationRequest.intent</code> = \"order\" representing authorized medication orders directly derived from the system's orders.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0254\">\n    <td>CONF-0254</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0254\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nThe [MedicationRequest resource] query result <strong>SHALL</strong> include all prescribed and \"self-prescribed\" MedicationRequest resources with a <code>MedicationRequest.intent</code> = \"plan\" representing reported medications.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0256\">\n    <td>CONF-0256</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0256\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers <strong>SHALL</strong> use the <code>MedicationRequest.reported[x]</code> element to indicate that the MedicationRequest record was captured as a secondary \"reported\" record rather than an original primary source-of-truth record.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0258\">\n    <td>CONF-0258</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0258\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nWhen recording \"self-prescribed\" medication, Servers <strong>SHOULD</strong> use the <code>MedicationRequest.requester</code> element to indicate the Patient or RelatedPerson is the prescriber.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0259\">\n    <td>CONF-0259</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0259\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers <strong>SHOULD</strong> support the encounter search parameter.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0260\">\n    <td>CONF-0260</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0260\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\n[If Servers support the encounter search parameter, s]earching by encounter will return all medications ordered during that encounter, including medications administered in the hospital and prescribed or discharge medications intended to be taken at home.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0262\">\n    <td>CONF-0262</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0262\">medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers <strong>MAY</strong>  support the search parameters <code>category</code>and <code>encounter</code>. This search will return all medications ordered during an encounter for a given MedicationRequest.category such as \"inpatient\".</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0263\">\n    <td>CONF-0263</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"medication-list.html#CONF-0263\">medication-list.html#de-duplication-of-data</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</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>MAY</strong>  be  supplied by the Server</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0267\">\n    <td>CONF-0267</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"basic-provenance.html#CONF-0267\">basic-provenance.html#hie-transformation</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>An agent.type=”assembler”, agent.type=”transmitter”, or other agents from <a href=\"https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-provenance-participant-type.html\">Provenance Agent Type</a> value set <strong>MAY</strong>  also be included.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0268\">\n    <td>CONF-0268</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0268\">screening-and-assessments.html#introduction</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>implementers [of US Core's framework of Screening and Assessments] <strong>SHOULD</strong> consider more constrained, domain-specific profiles derived from the US Core Profiles to meet the needs of their respective use cases.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0269\">\n    <td>CONF-0269</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0269\">screening-and-assessments.html#clinical-judgments</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Every Server that supports the USDCI Data Class “Health Status/Assessments”:</p>\n<p><strong>SHALL</strong> support representing clinical judgments using <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns Profile</a> or <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.html\">US Core Simple Observation Profile</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0270\">\n    <td>CONF-0270</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0270\">screening-and-assessments.html#clinical-judgments</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nThe US Core Simple Observation Profile's Observation.derivedFrom element <strong>SHOULD</strong> reference the <a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments\">Structured Screening and Assessment</a> upon which clinical judgment observations are made</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0271\">\n    <td>CONF-0271</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0271\">screening-and-assessments.html#clinical-judgments</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nthe US Core Condition Profile's Condition.evidence.detail element <strong>SHOULD</strong> reference the <a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments\">Structured Screening and Assessment</a> which assist in diagnosing problems or health concerns.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0272\">\n    <td>CONF-0272</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0272\">screening-and-assessments.html#choosing-between-questionnaireresponse-and-observation</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For API developers using US Core, it’s important to understand when to use the QuestionnaireResponse versus Observation to represent structured assessments and surveys. Here are some guidelines to help choose the appropriate profile:\nObservations represent specific point-in-time facts that need to be searched, trended, the subject of statistical analysis, and directly referenced in support of other actions ... anything that meets one of the preceding criteria <strong>SHOULD</strong> be surfaced as an Observation.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0280\">\n    <td>CONF-0280</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0280\">screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Implementers <strong>SHOULD</strong> treat these [USCDI Health Status Assessments Data Element] value sets as having an <a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\">extensible</a> binding.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0281\">\n    <td>CONF-0281</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0281\">screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>when recording SDOH data [with] US Core Profiles, Servers <strong>SHOULD</strong> use … <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion\">Social Determinants of Health Conditions Value Set</a>, <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.789/expansion\">Social Determinants of Health Procedures Value Set</a>, <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion\">Social Determinants of Health Goals Value Set</a>, [and] <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.790/expansion\">Social Determinants of Health Service Requests Value Set</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0287\">\n    <td>CONF-0287</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0287\">changes-between-versions.html#no-guarantee-that-resource-ids-are-preserved</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers <strong>SHOULD</strong> maintain a stable common identifier for a resource across [FHIR] versions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0288\">\n    <td>CONF-0288</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0288\">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>In an upgraded R4 endpoint, any data in FHIR DSTU2 <strong>SHOULD</strong> be in FHIR R4.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0289\">\n    <td>CONF-0289</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0289\">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-0290\">\n    <td>CONF-0290</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0290\">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-0291\">\n    <td>CONF-0291</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0291\">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-0295\">\n    <td>CONF-0295</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0295\">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>Servers <strong>SHOULD</strong> make available the same information in DSTU2 and R4 where the more recent standard allows.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0296\">\n    <td>CONF-0296</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0296\">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>Servers <strong>SHOULD</strong> make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\nMedicationStatement data [should be] mapped to MedicationRequest</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0297\">\n    <td>CONF-0297</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0297\">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>Servers <strong>SHOULD</strong> make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\ncare teams, as represented by CarePlan, <strong>SHOULD</strong> be mapped to CareTeam in R4</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0298\">\n    <td>CONF-0298</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0298\">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>Data <strong>SHOULD</strong> be maintained between [FHIR] versions (i.e., not be degraded).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0300\">\n    <td>CONF-0300</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"changes-between-versions.html#CONF-0300\">changes-between-versions.html#authorization-across-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To allow Clients to use a single authorization token when accessing resources from multiple version-specific endpoints, Servers <strong>SHOULD</strong> use the same base authorization endpoint across versions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0302\">\n    <td>CONF-0302</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0302\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[The clinical status of the allergy] <strong>SHALL</strong> be  present if verification status is not “entered-in-error”</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0303\">\n    <td>CONF-0303</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0303\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL-NOT</td>\n    <td><div><p>[The clinical status of the allergy] <strong>SHALL NOT</strong>  be present if verification Status is “entered-in-error”</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0305\">\n    <td>CONF-0305</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0305\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>No Known Allergies <strong>MAY</strong> be represented using the US Core-AllergyIntolerance profile</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0306\">\n    <td>CONF-0306</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0306\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[When No Known Allergies is documented the system <strong>SHALL</strong> use an] appropriate negation code in AllergyIntolerance.code</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0307\">\n    <td>CONF-0307</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0307\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[When No Known Allergies is documented the system <strong>SHALL</strong> use an] verification status in AllergyIntolerance.verificationStatus</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0308\">\n    <td>CONF-0308</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0308\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If a patient has not been asked about their allergies, this would be represented as:\nAllergyIntolerance.code = “1631000175102” (Patient not asked (contextual qualifier) (qualifier value))\nAllergyIntolerance.verificationStatus = “unconfirmed” or empty (in other words, the element omitted)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0309\">\n    <td>CONF-0309</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-allergyintolerance.html#CONF-0309\">StructureDefinition-us-core-allergyintolerance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If a patient has been asked, but has indicated they have no known allergies, this would be represented as:\nAllergyIntolerance.code = “716186003” (No known allergy (situation))\nAllergyIntolerance.verificationStatus = “confirmed”</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0310\">\n    <td>CONF-0310</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careplan.html#CONF-0310\">StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Considerations for systems aligning with <a href=\"http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492\">HL7 Consolidated (C-CDA)</a> Care Plan requirements: US Core Goal <strong>SHOULD</strong> be present in CarePlan.goal</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0311\">\n    <td>CONF-0311</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careplan.html#CONF-0311\">StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: ... US Core Condition <strong>SHOULD</strong> be present in CarePlan.addresses</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0312\">\n    <td>CONF-0312</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careplan.html#CONF-0312\">StructureDefinition-us-core-careplan.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: Assessment and Plan <strong>MAY</strong>  be  included as narrative in CarePlan.text</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0313\">\n    <td>CONF-0313</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0313\">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>Although both US Core Practitioner Profile and US Core PractitionerRole are Must Support, ... Server system[s conforming to the US Core CareTeam profile are] ... not required to support references to both, but <strong>SHALL</strong> support at least one of them</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0317\">\n    <td>CONF-0317</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0317\">StructureDefinition-us-core-careteam.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When conforming to the US Core CareTeam profile] Because the US Core PractitionerRole Profile supplies the provider’s location and contact information and a reference to the Practitioner, Server systems [conforming to the US Core CareTeam profile] <strong>SHOULD</strong> reference it instead of the US Core Practitioner Profile [when conforming to the US Core CareTeam profile] .</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0318\">\n    <td>CONF-0318</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0318\">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>Servers [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile <strong>SHALL</strong>  provide implementation-specific guidance on how to access a provider’s location ... information using only the Practitioner resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0319\">\n    <td>CONF-0319</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-careteam.html#CONF-0319\">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>Servers [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile <strong>SHALL</strong>  provide implementation-specific guidance on how to access a provider’s ... contact information using only the Practitioner resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0323\">\n    <td>CONF-0323</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0323\">StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0323\">StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>USCDI’s applicable vocabulary standards for Encounter Diagnosis are SNOMED CT and ICD-10-CM. The US Core Condition Codes only supports ICD-9-CM for historical purposes. When using ICD codes, only non-header ICD-10-CM codes <strong>SHOULD</strong> be used as the primary code for current encounter diagnoses.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0324\">\n    <td>CONF-0324</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0324\">StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[A US Core Condition Encounter Diagnosis] encounter <strong>SHOULD</strong> always be referenced in Condition.encounter.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0331\">\n    <td>CONF-0331</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0331\">StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If the category is \"problem-list-item\", Condition.clinicalStatus <strong>SHOULD</strong> be present.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0332\">\n    <td>CONF-0332</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0332\">StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect: New problems and health concerns</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0333\">\n    <td>CONF-0333</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0333\">StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect:\nChanges in the clinical status or verification status of problems or health concerns.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0334\">\n    <td>CONF-0334</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-coverage.html#CONF-0334\">StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>A coverage.type of “81” (Self-pay) <strong>MAY</strong>  be  used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0336\">\n    <td>CONF-0336</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-coverage.html#CONF-0336\">StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To differentiate Medicare Parts A, B, C, and D systems <strong>SHOULD</strong> use the following codes [when sending Coverage.type]: [For] Part A and B [use] 121 (Medicare Fee For Service)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0337\">\n    <td>CONF-0337</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-coverage.html#CONF-0337\">StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To differentiate Medicare Parts A, B, C, and D systems <strong>SHOULD</strong> use the following codes: [For] Part C (Medicare Advantage Plan) [use] 111 (Medicare HMO), 112 (Medicare PPO), 113 (Medicare POS)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0338\">\n    <td>CONF-0338</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-coverage.html#CONF-0338\">StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To differentiate Medicare Parts A, B, C, and D systems <strong>SHOULD</strong> use the following codes: [For] Part D [use] 122 (Medicare Drug Benefit)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0339\">\n    <td>CONF-0339</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-coverage.html#CONF-0339\">StructureDefinition-us-core-coverage.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If Insurers issue unique member IDs for dependents, then the memberId Coverage.identifier <strong>SHOULD</strong>be used [with the unique dependent ID] instead of Coverage.dependent to uniquely refer to the dependent with respect to their insurance.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0341\">\n    <td>CONF-0341</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0341\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Implementers <strong>SHOULD</strong> use the FDA Global UDI Database (GUDID) and associated APIs to parse and validate the [unique device ID] UDI</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0342\">\n    <td>CONF-0342</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0342\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Medical devices with UDI information <strong>SHALL</strong> represent the UDI code in Device.udiCarrier.carrierHRF</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0343\">\n    <td>CONF-0343</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0343\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>UDI-PI elements present [in Device.udiCarrier.carrierHRF] <strong>SHALL</strong> be  represented in the corresponding US Core Device Profile elements</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0344\">\n    <td>CONF-0344</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0344\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If UDI is not present and the manufacturer … is available, … [it] <strong>SHOULD</strong> be included to support historical reports of implantable medical devices [where] manufacturer [is sent in] Device.manufacturer</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0345\">\n    <td>CONF-0345</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0345\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If UDI is not present and the ... model number information is available, … [it] <strong>SHOULD</strong> be included to support historical reports of implantable medical devices [where] model [is sent in] Device.model</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0347\">\n    <td>CONF-0347</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0347\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Records of implanted devices <strong>MAY</strong>  be  queried against UDI data, including: UDI HRF string (udi-carrier)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0348\">\n    <td>CONF-0348</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0348\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Records of implanted devices <strong>MAY</strong>  be  queried against UDI data, including:UDI Device Identifier (udi-di)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0349\">\n    <td>CONF-0349</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0349\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Records of implanted devices <strong>MAY</strong>  be  queried against UDI data, including: Manufacturer (manufacturer)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0350\">\n    <td>CONF-0350</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0350\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Records of implanted devices <strong>MAY</strong>  be  queried against UDI data, including: Model number (model)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0351\">\n    <td>CONF-0351</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0351\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Implementers <strong>MAY</strong>  also adopt custom SearchParameters for searching by lot numbers</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0352\">\n    <td>CONF-0352</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0352\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Implementers <strong>MAY</strong>  also adopt custom SearchParameters for searching by serial number</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0353\">\n    <td>CONF-0353</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0353\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Implementers <strong>MAY</strong>  also adopt custom SearchParameters for searching by expiration date</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0354\">\n    <td>CONF-0354</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0354\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Implementers <strong>MAY</strong>  also adopt custom SearchParameters for searching by manufacture date</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0355\">\n    <td>CONF-0355</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-device.html#CONF-0355\">StructureDefinition-us-core-device.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Implementers <strong>MAY</strong>  also adopt custom SearchParameters for searching by distinct identifier</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0356\">\n    <td>CONF-0356</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0356\">StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0356\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The diagnostically relevant time (known as the “effective time” and typically the time of specimen collection) … <strong>SHALL</strong> be  present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0357\">\n    <td>CONF-0357</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0357\">StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When the report was released … <strong>SHALL</strong> be  present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0358\">\n    <td>CONF-0358</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0358\">StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect New laboratory reports.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0359\">\n    <td>CONF-0359</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0359\">StructureDefinition-us-core-diagnosticreport-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect changes in the status of laboratory reports, including events that trigger the same status (e.g., amended → amended).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0361\">\n    <td>CONF-0361</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0361\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Other [diagnostic report] categories <strong>MAY</strong> be supported [when using US Core DiagnosticReport Profile for Report and Note Exchange]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0364\">\n    <td>CONF-0364</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0364\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For Diagnostic Imaging Reports systems <strong>SHOULD</strong> support using the subset of LOINC codes listed in Table 4: LOINC® Document Type Codes in <em>HL7 Standard for CDA® Release 2: Imaging Integration; Basic Imaging Reports in CDA and DICOM, Release 1</em></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0366\">\n    <td>CONF-0366</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0366\">StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The DocumentReference.type binding <strong>MAY</strong> extend to the whole <a href=\"https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-documentreference-type.html\">US Core DocumentReference Type Value Set</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0367\">\n    <td>CONF-0367</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0367\">StructureDefinition-us-core-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[DocumentReference.type <strong>MAY</strong> also use] other category schemes such as the LOINC-based <a href=\"http://hl7.org/fhir/R4/valueset-document-classcodes.html\">Document Class Value Set</a> and <a href=\"https://wiki.ihe.net/index.php/XDS_classCode_Metadata_Coding_System\">IHE XDSclassCode</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0368\">\n    <td>CONF-0368</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0368\">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-0368\">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>Although both [DocumentReference.attachment.url and DocumentReference.attachment.data] are marked as Must Support, the Server system is not required to support an address and inline base64 encoded data, but <strong>SHALL</strong> support at least one of these elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0372\">\n    <td>CONF-0372</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0372\">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-0372\">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>If there are multiple DocumentReference.content element repetitions, these <strong>SHALL</strong> all represent the same document in different formats or attachment metadata</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0373\">\n    <td>CONF-0373</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0373\">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-0373\">StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL-NOT</td>\n    <td><div><p>The [documentReference.content] element <strong>SHALL NOT</strong> contain different versions of the same content.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0374\">\n    <td>CONF-0374</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html#CONF-0374\">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-0374\">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 organization responsible for the DocumentReference <strong>SHALL</strong> be  present either in DocumentReference.custodian or accessible in the Provenance resource targeting the DocumentReference using Provenance.agent.who or Provenance.agent.onBehalfOf</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0375\">\n    <td>CONF-0375</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0375\">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>Although ... marked as Must Support, Servers are not required to support both [an Encounter.reasonCode or a reference with Encounter.reasonReference], but they <strong>SHALL</strong> support at least one of these elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0378\">\n    <td>CONF-0378</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0378\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If Encounter.reasonReference references an Observation, it <strong>SHOULD</strong> conform to a US Core Observation [profile applicable to the observation being made]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0379\">\n    <td>CONF-0379</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0379\">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>Although … marked as Must Support, Servers are not required to support both Encounter.location.location and Encounter.serviceProvider, but they <strong>SHALL</strong> support at least one of these elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0382\">\n    <td>CONF-0382</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0382\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-location.html#CONF-0382\">StructureDefinition-us-core-location.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If the event facility/location differs from the Encounter.location, systems <strong>SHOULD</strong> reference it directly</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0383\">\n    <td>CONF-0383</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0383\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-location.html#CONF-0383\">StructureDefinition-us-core-location.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If the event facility/location differs from the Encounter.location, … systems <strong>SHALL</strong> use the location element for all resources where the element is available.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0384\">\n    <td>CONF-0384</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0384\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-location.html#CONF-0384\">StructureDefinition-us-core-location.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>If the event facility/location differs from the Encounter.location … systems <strong>MAY</strong>   use the standard <a href=\"http://hl7.org/fhir/StructureDefinition/event-location\">Event Location Extension</a> for US Core DiagnosticReport Profile for Laboratory Results Reporting and US Core Observation Clinical Result Profile.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0385\">\n    <td>CONF-0385</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0385\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect New encounters/visits</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0386\">\n    <td>CONF-0386</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0386\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Updates to .meta.lastUpdated <strong>SHOULD</strong> reflect changes in the status of encounters, including events that trigger the same status (e.g., in-progress → in-progress).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0387\">\n    <td>CONF-0387</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-goal.html#CONF-0387\">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>Although both Goal.startDate and Goal.target.dueDate are marked as Must Support, the Server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0390\">\n    <td>CONF-0390</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-immunization.html#CONF-0390\">StructureDefinition-us-core-immunization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> use the status code: not-done to represent that an immunization was not given.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0399\">\n    <td>CONF-0399</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0399\">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-0399\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>When referencing a Medication resource in .medicationReference, the resource <strong>MAY</strong> be <a href=\"http://hl7.org/fhir/R4/references.html#contained\">contained</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0400\">\n    <td>CONF-0400</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0400\">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-0400\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>When referencing a Medication resource in .medicationReference, the resource <strong>MAY</strong> be an external resource</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0401\">\n    <td>CONF-0401</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0401\">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-0401\">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 Server systems are not required to support both a [medication] code and a reference [when sending medicationDispense], but <strong>SHALL</strong> support at least one of these methods</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0402\">\n    <td>CONF-0402</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationdispense.html#CONF-0402\">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-0402\">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>If an external reference to a Medication resource is used, the Server <strong>SHALL</strong> support the <a href=\"http://hl7.org/fhir/R4/search.html#include\">_include</a> parameter for searching this element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0407\">\n    <td>CONF-0407</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0407\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When recording “self-prescribed” medication, requester <strong>SHOULD</strong> be used to indicate the Patient or RelatedPerson as the prescriber</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0408\">\n    <td>CONF-0408</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0408\">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>Although [medicationRequest.reportedBoolean and MedicationRequest.reportedReference] are both marked as Must Support, the Server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0416\">\n    <td>CONF-0416</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0416\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] the referenced resources <strong>SHOULD</strong> be a US Core Profile as documented in <a href=\"https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-profiles\">Referencing US Core Profiles</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0417\">\n    <td>CONF-0417</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0417\">StructureDefinition-us-core-medicationrequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Source EHR identifiers <strong>SHOULD</strong> be included to support deduplication across MedicationRequest resources.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0419\">\n    <td>CONF-0419</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-average-blood-pressure.html#CONF-0419\">StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0419\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0419\">StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The observations <strong>MAY</strong>   have additional codes that translate or map to the Observation code or category codes [such as] … local system-specific codes [and] …more specific codes</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0420\">\n    <td>CONF-0420</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-average-blood-pressure.html#CONF-0420\">StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0420\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0420\">StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For an Observation a] code system value <strong>SHOULD</strong> be supplied for each additional code</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0421\">\n    <td>CONF-0421</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-average-blood-pressure.html#CONF-0421\">StructureDefinition-us-core-average-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Because the blood pressure values are communicated in the mandatory systolic and diastolic components [when using the US Core Average Blood Pressure Profile,] the Observation.value[x] element <strong>SHALL</strong> be  omitted</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0422\">\n    <td>CONF-0422</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-care-experience-preference.html#CONF-0422\">StructureDefinition-us-core-care-experience-preference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0422\">StructureDefinition-us-core-treatment-intervention-preference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The context or precondition of a patient’s [care experience] preference <strong>SHOULD</strong> be supplied in the Observation.valueString or in an extension</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0423\">\n    <td>CONF-0423</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0423\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers <strong>SHOULD</strong> use the base FHIR [Observation Category Codes] (http://hl7.org/fhir/R4/valueset-observation-category.html) [in Observation.category]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0424\">\n    <td>CONF-0424</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0424\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0424\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Systems <strong>SHOULD</strong> support Observation.effectivePeriod to accurately represent measurements over time</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0425\">\n    <td>CONF-0425</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0425\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0425\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0425\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0425\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>An Observation.component without a value, <strong>SHALL</strong>  include a reason why the data is absent</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0426\">\n    <td>CONF-0426</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0426\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0426\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0426\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0426\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems that never provide a component observation without a component value <strong>MAY</strong>  choose not to support Observation.component.dataAbsentReason</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0427\">\n    <td>CONF-0427</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0427\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0427\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0427\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0427\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>An Observation without a value, <strong>SHALL</strong>  include a reason why the data is absent</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0428\">\n    <td>CONF-0428</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0428\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0428\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0428\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0428\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[For] an Observation without a value … [Systems <strong>MAY</strong>  choose not to] include a reason why the data is absent … [if] there are component observations or … reporting panel observations using Observation.hasMember</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0429\">\n    <td>CONF-0429</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-clinical-result.html#CONF-0429\">StructureDefinition-us-core-observation-clinical-result.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0429\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0429\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0429\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Systems that never provide an observation without a value <strong>MAY</strong>  choose not to support Observation.dataAbsentReason</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0430\">\n    <td>CONF-0430</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0430\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated <strong>SHOULD</strong> reflect new laboratory observations</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0431\">\n    <td>CONF-0431</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0431\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated <strong>SHOULD</strong> reflect changes in the status of laboratory observations, including events that trigger the same status (e.g., amended → amended)</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0432\">\n    <td>CONF-0432</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-occupation.html#CONF-0432\">StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[When sending US Core Observation Occupation Profile] for … [a] current job ,systems <strong>SHALL</strong> omit observation.effectivePeriod.end to indicate it is ongoing.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0433\">\n    <td>CONF-0433</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-occupation.html#CONF-0433\">StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>When the industry is known, but the occupation is not, systems <strong>SHALL</strong> use the value “unknown” from the <a href=\"http://hl7.org/fhir/R4/codesystem-data-absent-reason.html\">DataAbsentReason Code System</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0434\">\n    <td>CONF-0434</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-occupation.html#CONF-0434\">StructureDefinition-us-core-observation-occupation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>when the occupation is known but the industry is not, systems <strong>SHALL</strong> omit the industry Observation.component</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0437\">\n    <td>CONF-0437</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0437\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For] multi-question surveys or assessments Observation.code is an overarching assessment or screening code, and the Observation.value element <strong>SHOULD</strong> be empty</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0438\">\n    <td>CONF-0438</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0438\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>A practitioner’s clinical observation or assertion about a patient’s health status, which is not a response to a screening or assessment question, <strong>SHOULD</strong> use the <a href=\"https://hl7.org/fhir/us/core/StructureDefinition-us-core-simple-observation.html\">US Core Simple Observation Profile</a> instead [of the US Core Observation Screening Assessment Profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0439\">\n    <td>CONF-0439</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0439\">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>the Server system ... <strong>SHALL</strong> support [either] Reference(US Core Observation Screening Assessment Profile) or Reference(US Core QuestionnaireResponse Profile) for Observation.derivedFrom</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0441\">\n    <td>CONF-0441</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-simple-observation.html#CONF-0441\">StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Observations formally part of an assessment tool or survey <strong>SHOULD</strong> use the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-observation-screening-assessment.html\">US Core Observation Screening Assessment Profile</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0442\">\n    <td>CONF-0442</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-simple-observation.html#CONF-0442\">StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>An assertion or determination derived from screening and assessment tools <strong>SHOULD</strong> reference them using Observation.derivedFrom</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0443\">\n    <td>CONF-0443</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-simple-observation.html#CONF-0443\">StructureDefinition-us-core-simple-observation.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When using `Observation.derivedFrom’ to reference an Observation, the referenced Observation <strong>SHOULD</strong> be a US Core Observation</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0447\">\n    <td>CONF-0447</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-vital-signs.html#CONF-0447\">StructureDefinition-us-core-vital-signs.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[US Core Vital Signs] observations <strong>MAY</strong>   have <a href=\"http://hl7.org/fhir/R4/observation.html#gr-comp\">component</a> observations … [see] FHIR core specification <a href=\"http://hl7.org/fhir/R4/observation-vitalsigns.html#vitals-table\">vital signs table</a> for examples</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0448\">\n    <td>CONF-0448</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-pediatric-bmi-for-age.html#CONF-0448\">StructureDefinition-pediatric-bmi-for-age.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-pediatric-weight-for-height.html#CONF-0448\">StructureDefinition-pediatric-weight-for-height.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-head-occipital-frontal-circumference-percentile.html#CONF-0448\">StructureDefinition-head-occipital-frontal-circumference-percentile.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Information about the growth chart tables used to determine percentiles <strong>SHOULD</strong> be supplied in Observation.note.text</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0449\">\n    <td>CONF-0449</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-blood-pressure.html#CONF-0449\">StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] the Observation.value[x] element <strong>SHOULD</strong> be omitted</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0450\">\n    <td>CONF-0450</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-blood-pressure.html#CONF-0450\">StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] an Observation without a systolic or diastolic result value, <strong>SHALL</strong>  include a reason why the data is absent in Observation.component.dataAbsentReason</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0451\">\n    <td>CONF-0451</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-blood-pressure.html#CONF-0451\">StructureDefinition-us-core-blood-pressure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] All Server systems - including those that never provide a component observation without a value - <strong>SHALL</strong> support Observation.component.dataAbsentReason for the components.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0452\">\n    <td>CONF-0452</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-pulse-oximetry.html#CONF-0452\">StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Inspired oxygen therapy <strong>MAY</strong> be represented with <a href=\"http://hl7.org/fhir/R4/observation.html#gr-comp\">component</a> observations when measured at the same time as the pulse oximetry measurements [in the US Core Pulse Oximetry profile]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0453\">\n    <td>CONF-0453</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-pulse-oximetry.html#CONF-0453\">StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Many pulse oximetry readings are taken while the patient is breathing room air. The concept of “room air” (unmodified, ambient air) <strong>SHOULD</strong> be represented as an inhaled oxygen flow rate of 0 liters/min</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0454\">\n    <td>CONF-0454</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-pulse-oximetry.html#CONF-0454\">StructureDefinition-us-core-pulse-oximetry.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>A pulse oximetry reading without inspired oxygen component observations <strong>MAY</strong> imply that the measurement was performed while the patient was breathing room air or that the inspired oxygen reading was omitted. To remove this uncertainty, the inspired oxygen <a href=\"http://hl7.org/fhir/R4/observation.html#gr-comp\">component</a> observations <strong>SHOULD</strong> be used [when using the US Core Pulse Oximetry profile.]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0455\">\n    <td>CONF-0455</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-organization.html#CONF-0455\">StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Systems <strong>SHALL</strong> support National Provider Identifier (NPI) for organizations</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0456\">\n    <td>CONF-0456</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-organization.html#CONF-0456\">StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Systems … <strong>SHOULD</strong> the National Association of Insurance Commissioners NAIC Company code (sometimes called “NAIC Number” or “cocode”) for payers.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0457\">\n    <td>CONF-0457</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-organization.html#CONF-0457\">StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Systems … <strong>SHOULD</strong> support Clinical Laboratory Improvement Amendments (CLIA) for laboratories</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0461\">\n    <td>CONF-0461</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0461\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The Complex [Extension] for Race ... allow[s] for one or more codes of which <strong>MAY</strong>   include additional codes from the detailed ethnicity ... value sets drawn from the <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238\">Race &amp; Ethnicity - CDC (CDCREC)</a> code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.html)]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0462\">\n    <td>CONF-0462</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0462\">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 Complex [Extension] for Race ... allow[s] for one or more codes of which <strong>SHALL</strong>  include a text description [of category codes when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.html)]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0463\">\n    <td>CONF-0463</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0463\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which <strong>MAY</strong>   include additional codes from the detailed ... race value sets drawn from the <a href=\"https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238\">Race &amp; Ethnicity - CDC (CDCREC)</a> code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.html)]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0464\">\n    <td>CONF-0464</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0464\">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 Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which <strong>SHALL</strong>  include a text description [of category codes when using the [US Core Ethnicity Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-ethnicity.html)]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0466\">\n    <td>CONF-0466</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0466\">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>Systems <strong>SHALL</strong> represent <em>Previous name</em>  by setting <code>Patient.name.use</code> to \"old\" or providing an end date in <code>Patient.name.period</code> or doing both.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0467\">\n    <td>CONF-0467</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0467\">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>Systems <strong>SHALL</strong> represent <em>Previous Address</em> by setting <code>Patient.address.use</code> to \"old\" or providing an end date in <code>Patient.address.period</code> or doing both.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0470\">\n    <td>CONF-0470</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0470\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Non-certifying systems[, systems that are not participating in the ONC Health IT certification program,] <strong>SHOULD</strong> follow the <a href=\"https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf\">Project US@ Technical Specification for Patient Addresses Final Version 1.0</a> as the standard style guide for Patient.address.line and Patient.address.city for new and updated records.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0471\">\n    <td>CONF-0471</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0471\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[For systems participating in the ONC Health IT certification program,] this requirement [to follow the <a href=\"https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf\">Project US@ Technical Specification for Patient Addresses Final Version 1.0</a> for Patient.address.line and Patient.address.city]. Both certifying and non-certifying systems <strong>MAY</strong>  choose not to use Project US@ for historical records or documents that are not exposed through FHIR-based APIs.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0472\">\n    <td>CONF-0472</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0472\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD-NOT</td>\n    <td><div><p><strong>SHOULD  NOT</strong> be used as a patient identifier in Patient.identifier.value</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0473\">\n    <td>CONF-0473</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0473\">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>Servers that support only the US Core Practitioner Profile and do not support the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> <strong>SHALL</strong>  provide implementation-specific guidance on how to access a provider’s location and contact information using only the Practitioner resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0474\">\n    <td>CONF-0474</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0474\">StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Although Practitioner.address is marked as Must Support, the Server system <strong>MAY</strong>  choose not to support it if they support the US Core PractitionerRole Profile</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0475\">\n    <td>CONF-0475</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0475\">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>[When using the US Core Practitioner Profile] Practitioner.address … <strong>SHALL</strong>[be supported] if … [the Server does] not support the US Core PractitionerRole Profile</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0477\">\n    <td>CONF-0477</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0477\">StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Only professional/work contact information about the practitioner <strong>SHOULD</strong> be available to the patient</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0480\">\n    <td>CONF-0480</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0480\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[If using LOINC codes in procedure.code] only LOINC concepts that reflect actual procedures <strong>SHOULD</strong> be used</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0486\">\n    <td>CONF-0486</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0486\">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 Servers <strong>SHALL</strong> support at least one target resource in Procedure.reasonReference</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0488\">\n    <td>CONF-0488</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0488\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference …The referenced resources <strong>SHOULD</strong> be a US Core Profile as documented in <a href=\"https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-profiles\">Referencing US Core Profiles</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0489\">\n    <td>CONF-0489</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-provenance.html#CONF-0489\">StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The US Core Provenance resource <strong>SHALL</strong> be supported for these US Core resource types:\nAllergyIntolerance, CarePlan, CareTeam, Condition, Coverage, Device, DiagnosticReport, DocumentReference, Encounter, Goal, Immunization, MedicationDispense, MedicationRequest, Observation, Patient, Procedure, QuestionnaireResponse, RelatedPerson, ServiceRequest</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0508\">\n    <td>CONF-0508</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-provenance.html#CONF-0508\">StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>If a system receives a provider in Provenance.agent.who as free text, they must capture [the organization] who sent them the information [and upon] request ... <strong>SHALL</strong>  provide this organization as the source</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0509\">\n    <td>CONF-0509</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-provenance.html#CONF-0509\">StructureDefinition-us-core-provenance.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>If a system receives a provider in Provenance.agent.who as free text, … [upon request they] <strong>MAY</strong>   include the free text provider.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0514\">\n    <td>CONF-0514</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0514\">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>The Must Support <code>ServiceRequest.category</code> is bound, at a minimum, to the <a href=\"https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-servicerequest-category.html\">US Core ServiceRequest Category Codes</a>, and other category codes <strong>MAY</strong>  be used.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0515\">\n    <td>CONF-0515</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0515\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The ServiceRequest.code value ... <strong>SHOULD</strong> be constrained to a subset for a particular use case or domain</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0523\">\n    <td>CONF-0523</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-specimen.html#CONF-0523\">StructureDefinition-us-core-specimen.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medication.html#CONF-0523\">StructureDefinition-us-core-medication.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Since the binding [for Specimen.type and additional USCDI elements] is <a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\">extensible</a> when a code is unavailable, servers <strong>MAY</strong>  use text.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0524\">\n    <td>CONF-0524</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-specimen.html#CONF-0524\">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>Although both Specimen.identifier and Specimen.accessionIdentifier are marked as Must Support, the Server system is not required to support both, but <strong>SHALL</strong> support at least one of these elements.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0550\">\n    <td>CONF-0550</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0550\">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-0552\">\n    <td>CONF-0552</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0552\">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-0554\">\n    <td>CONF-0554</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0554\">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-0556\">\n    <td>CONF-0556</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0556\">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-0558\">\n    <td>CONF-0558</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0558\">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-0560\">\n    <td>CONF-0560</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0560\">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-0562\">\n    <td>CONF-0562</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0562\">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-0564\">\n    <td>CONF-0564</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0564\">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-0566\">\n    <td>CONF-0566</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0566\">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-0568\">\n    <td>CONF-0568</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0568\">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-0570\">\n    <td>CONF-0570</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0570\">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 2.0.0</a> and later for Client &lt;-&gt; Server interactions.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0572\">\n    <td>CONF-0572</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0572\">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-0574\">\n    <td>CONF-0574</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0574\">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-0576\">\n    <td>CONF-0576</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0576\">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-0578\">\n    <td>CONF-0578</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0578\">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-0580\">\n    <td>CONF-0580</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"security.html#CONF-0580\">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-0804\">\n    <td>CONF-0804</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0804\">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>If any sub-element is marked as <em>Additional USCDI</em> [for a complex element], it must also meet the <em>Additional USCDI</em> requirements and satisfy the <em>Additional USCDI</em> requirements for the parent element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0808\">\n    <td>CONF-0808</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0808\">must-support.html#must-support-targets-for-us-core-profiles</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 Must Support and has a single target profile referenced, the target profile <strong>SHALL</strong> be supported.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0810\">\n    <td>CONF-0810</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0810\">must-support.html#must-support-targets-for-us-core-profiles</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 Must Support, has multiple target profiles referenced, and specific targets are labeled as Must Support, the Must Support target profile(s) <strong>SHALL</strong> be supported.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0813\">\n    <td>CONF-0813</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0813\">must-support.html#must-support---slices</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[If a] slicer's Must Support property only defines the element level Must Support...[, i.e.,] no Must Support... property is defined for the slice, then support for that slice's definition is optional.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0818\">\n    <td>CONF-0818</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0818\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/11504-8.html\">Surgical Operation Note (11504-8)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0819\">\n    <td>CONF-0819</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"clinical-notes.html#CONF-0819\">clinical-notes.html#clinical-notes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>Servers <strong>SHALL</strong> support, at minimum, these … \"Common Clinical Notes\":\n<a href=\"https://loinc.org/34111-5.html\">Emergency Department Note (34111-5)</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0821\">\n    <td>CONF-0821</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0821\">screening-and-assessments.html#structured-screening-and-assessments</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers that support the USCDI Health Status/Assessments Data Class ... <strong>SHOULD</strong> support the SDC Base Questionnaire and the US Core QuestionnaireResponse Profile.\"</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0822\">\n    <td>CONF-0822</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0822\">screening-and-assessments.html#category-codes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For the US Core Simple Observation Profile, Servers <strong>SHALL</strong> support all the category codes <a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes\">listed</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0823\">\n    <td>CONF-0823</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0823\">screening-and-assessments.html#category-codes</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 Profiles, Servers <strong>SHALL</strong> support all the category codes <a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes\">listed</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0824\">\n    <td>CONF-0824</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0824\">screening-and-assessments.html#category-codes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>For the US Core Condition Problems and Health Concerns Profile, Servers <strong>SHALL</strong> support the code ,\"sdoh\"</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0825\">\n    <td>CONF-0825</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0825\">screening-and-assessments.html#category-codes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For the US Core Condition Problems and Health Concerns Profile, Servers <strong>SHOULD</strong> support the other category codes <a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes\">listed</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0826\">\n    <td>CONF-0826</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"screening-and-assessments.html#CONF-0826\">screening-and-assessments.html#category-codes</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For the US Core ServiceRequest Profile, Servers <strong>SHOULD</strong> support all the [<a href=\"https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes\">listed</a>] category codes.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0836\">\n    <td>CONF-0836</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0836\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The <code>DiagnosticReport.basedOn</code> element connects the DiagnosticReport to the originating order in the EHR. Systems that initiate the order <strong>SHOULD</strong> use this element when reporting the results.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0837\">\n    <td>CONF-0837</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0837\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The <code>DiagnosticReport.media.link</code> element <strong>SHOULD</strong> be used to support links to various patient-friendly content, such as jpg images of x-rays (see the DiagnosticReport Chest X-ray Report Example).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0838\">\n    <td>CONF-0838</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-diagnosticreport-note.html#CONF-0838\">StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The <code>DiagnosticReport.imagingStudy</code> element <strong>SHOULD</strong> be used to support exchange with systems that can view DICOM (Digital Imaging and Communications in Medicine) studies, series, and SOP (Service-Object Pair) instances referenced in the -<a href=\"http://hl7.org/fhir/R4/imagingstudy.html\">ImagingStudy</a> resource.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0839\">\n    <td>CONF-0839</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-documentreference.html\">StructureDefinition-us-core-documentreference.html</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-adi-documentreference.html#CONF-0839\">StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>If the referenced document or file [referenced by <code>DocumentReference.content.attachment.url</code>]  is hosted on a Server outside the FHIR Server, it <strong>SHOULD</strong>be securely accessible using the same authorization credentials that were used to access the FHIR Server. This reduces complexity for the Client and improves the user experience.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0840\">\n    <td>CONF-0840</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0840\">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>Although the [US Core Interpreter Needed] extension is marked as an Additional USCDI Requirements on both US Core Patient and US Core Encounter Profiles, the certifying Server system is not required to support the extension on both profiles, but <strong>SHALL</strong> support the extension on at least one.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0841\">\n    <td>CONF-0841</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-immunization.html#CONF-0841\">StructureDefinition-us-core-immunization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>There is no guarantee that vaccine lot numbers are globally unique, and they are not recommended for matching or de-duplication across systems unless used with other data elements such as a vaccine product code, manufacturer code, or date of administration. Implementers <strong>MAY</strong>  communicate the <code>Immunization.manufacturer</code> to ensure global uniqueness to lot numbers.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0842\">\n    <td>CONF-0842</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-medicationrequest.html#CONF-0842\">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>Servers <strong>SHALL</strong> return all active medications following the <a href=\"https://hl7.org/fhir/us/core/STU8/medication-list.html#get-all-active-medications\">Get All Active Medications</a> guidance.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0843\">\n    <td>CONF-0843</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0843\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For US Core Laboratory Result Observation Profile, even] when the specimen type is already implied by the LOINC code used in <code>Observation.code</code> (e.g., a LOINC code for Blood Glucose), the <code>Observation.specimen</code> element <strong>SHOULD</strong> also be populated with the referenced Specimen resource to explicitly communicate the collected specimen type.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0844\">\n    <td>CONF-0844</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-lab.html#CONF-0844\">StructureDefinition-us-core-observation-lab.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For US Core Laboratory Result Observation Profile, the] type of specimen [in <code>Observation.specimen</code>] <strong>SHOULD</strong> not conflict with the LOINC code [in <code>Observation.code</code>].</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0845\">\n    <td>CONF-0845</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0845\">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]  category type \"survey\" is required.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0850\">\n    <td>CONF-0850</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0850\">StructureDefinition-us-core-observation-screening-assessment.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[For the US Core Observation Screening Assessment Profile,] when using Observation.derivedFrom to reference an Observation, the referenced Observation <strong>SHOULD</strong> be a US Core Observation.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0851\">\n    <td>CONF-0851</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0851\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0851\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Servers <strong>SHOULD</strong> use 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>] or the <a href=\"https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a> to communicate whether a patient needs an interpreter.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0855\">\n    <td>CONF-0855</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0855\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-encounter.html#CONF-0855\">StructureDefinition-us-core-encounter.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Systems <strong>SHOULD</strong> designate the patient's preferred language in the Patient.communication.preferred element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0857\">\n    <td>CONF-0857</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0857\">StructureDefinition-us-core-servicerequest.html#root</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For the USCDI <em>Laboratory Order</em>, <em>Imaging Order</em>, <em>Clinical Test Order</em>, and <em>Procedure Order</em> Data Elements, implementers <strong>SHOULD</strong> use the corresponding category codes listed in the table</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0868\">\n    <td>CONF-0868</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-simple-observation.html#CONF-0868\">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>Although '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. Servers are not required to support both, but <strong>SHALL</strong> support at least one.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0871\">\n    <td>CONF-0871</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0871\">must-support.html#must-support---slices</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>[If a] slicer's Additional USCDI property only defines the element level Additional USCDI...[, i.e.,] no Additional USCDI... property is defined for the slice, then support for that slice's definition is optional.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0881\">\n    <td>CONF-0881</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"must-support.html#CONF-0881\">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 Responders <strong>SHALL</strong> be capable of providing [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-0885\">\n    <td>CONF-0885</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"basic-provenance.html#CONF-0885\">basic-provenance.html#individual-level-provenance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The author is communicated by the elements and the author's role by the referenced target resource (for example, Patient, Practitioner/PractitionerRole, RelatedPerson, Device). Details about the author's role are contained in the target resource's contents. Many of these elements are labeled Must Support or Additional USCDI Requirements. However,[even if they are not   labeled Must Support or Additional USCDI Requirements] all of these elements and target resources <strong>SHOULD</strong> be supported in the profiles if the system captures the data.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0887\">\n    <td>CONF-0887</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-observation-screening-assessment.html#CONF-0887\">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>Although '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. Servers are not required to support both, but <strong>SHALL</strong> support at least one.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0889\">\n    <td>CONF-0889</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitioner.html#CONF-0889\">StructureDefinition-us-core-practitioner.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-organization.html#CONF-0889\">StructureDefinition-us-core-organization.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0889\">StructureDefinition-us-core-patient.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-relatedperson.html#CONF-0889\">StructureDefinition-us-core-relatedperson.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>… this profile uses USPS Two Letter Alphabetic Codes for US states. When encoding addresses outside the US, systems <strong>SHOULD</strong>  use the <a href=\"https://www.iso.org/iso-3166-country-codes.html\">ISO 3166 subdivision codes</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0890\">\n    <td>CONF-0890</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitionerrole.html#CONF-0890\">StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Due to implementer feedback, some US Core Profiles reference the base FHIR PractitionerRole resource instead of the US Core PractitionerRole Profile. However, the US Core PractitionerRole Profile <strong>SHOULD</strong> be used as the default profile if referenced by another US Core profile.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0891\">\n    <td>CONF-0891</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitionerrole.html#CONF-0891\">StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When selecting role codes...implementers <strong>SHOULD</strong> choose the code that reflects the specific duties performed within that role rather than the specialty unless the individual's professional specialization characterizes the role.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0892\">\n    <td>CONF-0892</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0892\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>A procedure including an implantable device <strong>SHOULD</strong> use <code>Procedure.focalDevice</code> referencing the US Core Device Profile</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0894\">\n    <td>CONF-0894</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-practitionerrole.html#CONF-0894\">StructureDefinition-us-core-practitionerrole.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Unless exchanging legacy or text-only data, medical specialty codes <strong>SHOULD</strong> be taken from NUCC or SNOMED CT.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0895\">\n    <td>CONF-0895</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-procedure.html#CONF-0895\">StructureDefinition-us-core-procedure.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Unless exchanging legacy or text-only data, procedure codes <strong>SHOULD</strong> be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT, or LOINC*.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0896\">\n    <td>CONF-0896</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0896\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>US Core guidance provides more flexibility for situations where implementers cannot fully comply with the FHIR guidance. This flexibility is sometimes necessary and expected for legacy and text-only data. However, for newly recorded, non-legacy data, a system <strong>SHOULD</strong> adhere to the extensible binding rules.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0897\">\n    <td>CONF-0897</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0897\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>For data not captured by the system transmitting the information, the coded data <strong>SHOULD</strong> be automatically converted to fine-grained codes from the specified ValueSet.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0898\">\n    <td>CONF-0898</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0898\">general-requirements.html#extensible-binding-for-coded-elements</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>For data not captured by the system transmitting the information, ....the system <strong>MAY</strong>  provide the existing code or the free text, and a high-level abstract code, such as the SNOMED CT code \"71388002\"(Procedure), to remain conformant with the extensible binding.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0899\">\n    <td>CONF-0899</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-adi-documentreference.html#CONF-0899\">StructureDefinition-us-core-adi-documentreference.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>To represent the patient and provider attestation metadata, the optional DocumentReference Attestor R5 Extension defined in the US Core DocumentReference Profile <strong>SHOULD</strong> be used</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0900\">\n    <td>CONF-0900</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0900\">StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0900\">StructureDefinition-us-core-condition-encounter-diagnosis.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Unless exchanging legacy or text-only data, condition codes <strong>SHOULD</strong> be taken from SNOMED CT and ICD-10-CM, USCDI's applicable vocabulary standards for the Problem Data Element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0901\">\n    <td>CONF-0901</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-location.html#CONF-0901\">StructureDefinition-us-core-location.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>The Service Delivery Location Role Type value set is inherited from the base resource, and, although its binding strength is <a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\">extensible</a> in the base resource, US Core implementers <strong>MAY</strong>  treat it as <a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\">preferred</a>.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0903\">\n    <td>CONF-0903</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-goal.html#CONF-0903\">StructureDefinition-us-core-goal.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When exchanging Social Determinants of Health (SDOH) data, implementers <strong>SHOULD</strong> use the <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion\">Social Determinants of Health Goals</a> set which is curated by the Gravity Project to represent goals for all SDOH Domains.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0904\">\n    <td>CONF-0904</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0904\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>Implementers <strong>SHOULD</strong> conform to the binding strengths listed for each USCDI Order context...Laboratory Order|[LOINC Common Laboratory Orders Value Set]|extensible, Imaging Order|[LOINC Radiology Codes]|preferred, Clinical Test Order|[LOINC Clinical Test Codes]|preferred</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0905\">\n    <td>CONF-0905</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0905\">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>the US Core ServiceRequest Profile <strong>MAY</strong>  be used to represent a derived \"actionable\" order based on a portable Medical Order(PMO).</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0906\">\n    <td>CONF-0906</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0906\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When] used to represent a derived \"actionable\" order based on a PMO...The <code>ServiceRequest.category</code> <strong>SHOULD</strong> be bound to  <a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.34/Expansion\">Portable Medical Order Categories</a></p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0907\">\n    <td>CONF-0907</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0907\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>[When] used to represent a derived \"actionable\" order based on a PMO...ServiceRequest.code` <strong>SHOULD</strong> be aligned with the appropriate Category</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0908\">\n    <td>CONF-0908</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-servicerequest.html#CONF-0908\">StructureDefinition-us-core-servicerequest.html#profile-specific-implementation-guidance</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>The <code>ServiceReqest.reasonReference</code> <strong>SHOULD</strong> be used to reference the US Core ADI DocumentReference Profile that indexes the PMO.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0909\">\n    <td>CONF-0909</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"scopes.html#CONF-0909\">scopes.html#scopes-for-requesting-fhir-resources-by-type</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHALL</td>\n    <td><div><p>The following scopes that correspond directly to FHIR resource types <strong>SHALL</strong> be supported\n...\n[For] RelatedPerson [the] &lt;patient|user|system&gt;/FamilyMemberHistory.rs [see <a href=\"https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax\">SMART Clinical Scope Syntax</a> for details on clinical data scopes]</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0912\">\n    <td>CONF-0912</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"terminology.html#CONF-0912\">terminology.html#us-core-valueset-and-codesystem-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">SHOULD</td>\n    <td><div><p>When implementing US Core, implementers <strong>SHOULD</strong> use the published versions or later versions of the value sets and code systems.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0913\">\n    <td>CONF-0913</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"terminology.html#CONF-0913\">terminology.html#us-core-valueset-and-codesystem-versions</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>In some cases, [when implementing US Core]  implementers <strong>MAY</strong>  need to use terminology from earlier versions to preserve legacy data.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0914\">\n    <td>CONF-0914</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"StructureDefinition-us-core-patient.html#CONF-0914\">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>Systems <strong>SHALL</strong> represent <em>Suffix</em> using the <code>Patient.name.suffix</code> element.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0915\">\n    <td>CONF-0915</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0915\">general-requirements.html#conforming-to-us-core</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Profile Only Support: Systems <strong>MAY</strong> support <em>only</em> the US Core Profiles to represent clinical information.</p>\n</div></td>\n    </tr>\n    \n    <tr id=\"CONF-0916\">\n    <td>CONF-0916</td>\n    <td>\n        \n            \n          \n            <span style=\"color: grey;\">•</span><a href=\"general-requirements.html#CONF-0916\">general-requirements.html#conforming-to-us-core</a><br/>\n          \n        \n    </td>\n    <td style=\"text-align: center;\">MAY</td>\n    <td><div><p>Profile Support + Interaction Support: Systems <strong>MAY</strong> support <em>both</em> the US Core Profile content structure <em>and</em> the RESTful interactions defined for a resource.</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-server"^^xsd:anyURI ;
       fhir:l <http://hl7.org/fhir/us/core/Requirements/us-core-server>
     ]
  ] [
     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 "USCoreServerRequirements"
     ]
  ] [
     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 Server 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 Responder (Server) 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. See the [US Core Certifying System Requirements](Requirements-us-core-certifying-system.html) for the *additional requirements* for systems certifying for Office of the National Coordinator for Health Information Technology (ONC) Health IT Certification (g)(10) certification."
     ]
  ] [
     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 (Server)"
         ]
       ] )
     ]
  ] [
     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-0001"
       ]
     ] [
       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 "To support a US Core Profile, a Server: **SHALL** Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition."
       ]
     ] [
       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#profile-only-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-only-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-requirements.html#CONF-0001"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0001
           ]
         ] )
       ]
     ] ) ;
     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-0002"
       ]
     ] [
       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 support a US Core Profile, a Server: **SHOULD** declare support for a US Core Profile by including its official URL in the Server’s `CapabilityStatement.rest.resource.supportedProfile` 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 "general-requirements.html#profile-only-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-only-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-requirements.html#CONF-0002"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0002
           ]
         ] )
       ]
     ] ) ;
     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-0003"
       ]
     ] [
       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 "Servers **MAY** deploy and support one or more US Core Profiles to represent clinical 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 "general-requirements.html#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0003"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0003
           ]
         ] )
       ]
     ] ) ;
     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-0004"
       ]
     ] [
       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 "Server **MAY** deploy and support ... the following US Core interaction: “Quick Start” defined for each 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 "general-requirements.html#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0004"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0004
           ]
         ] )
       ]
     ] ) ;
     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-0005"
       ]
     ] [
       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 "Server **MAY** deploy and support ... the following US Core interaction: [Clinical Notes](https://hl7.org/fhir/us/core/clinical-notes.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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0005"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0005
           ]
         ] )
       ]
     ] ) ;
     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-0006"
       ]
     ] [
       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 "Server **MAY** deploy and support ... the following US Core interaction: [Medication List](https://hl7.org/fhir/us/core/medication-list.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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0006"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0006
           ]
         ] )
       ]
     ] ) ;
     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-0007"
       ]
     ] [
       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 "Server **MAY** deploy and support ... the following US Core interaction: [Basic Provenance](https://hl7.org/fhir/us/core/basic-provenance.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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0007"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0007
           ]
         ] )
       ]
     ] ) ;
     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-0008"
       ]
     ] [
       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 "Server **MAY** deploy and support ... the following US Core interaction: [Screening and Assessments](https://hl7.org/fhir/us/core/screening-and-assessments.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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0008"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0008
           ]
         ] )
       ]
     ] ) ;
     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-0009"
       ]
     ] [
       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 "Servers implementing ... [clinical information representation] can claim conformance to the US Core Profile content structure ... by implementing all or parts of the US Core CapabilityStatement into their capabilities."
       ]
     ] [
       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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0009"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0009
           ]
         ] )
       ]
     ] ) ;
     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-0010"
       ]
     ] [
       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 "Servers implementing ... [interactions] can claim conformance to the ... RESTful interactions defined by implementing all or parts of the US Core CapabilityStatement into their capabilities"
       ]
     ] [
       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#profile-support--interaction-support"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#profile-support--interaction-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-requirements.html#CONF-0010"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0010
           ]
         ] )
       ]
     ] ) ;
     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-0013"
       ]
     ] [
       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 "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL** Be able to populate all profile data elements that are mandatory and/or flagged as Must Support as defined by that profile’s StructureDefinition."
       ]
     ] [
       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#claiming-conformance-to-a-us-core-profile"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#claiming-conformance-to-a-us-core-profile ;
         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-0013"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0013
           ]
         ] )
       ]
     ] ) ;
     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-0014"
       ]
     ] [
       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 claim conformance to a US Core Profile] a conformant Server: \n\n**SHOULD** declare conformance with the US [Core Server Capability Statement](https://hl7.org/fhir/us/core/CapabilityStatement-us-core-Server.html) by including its official URL in the Server’s `CapabilityStatement.instantiates` element: `http://hl7.org/fhir/us/core/CapabilityStatement/us-core-Server`"
       ]
     ] [
       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#claiming-conformance-to-a-us-core-profile"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#claiming-conformance-to-a-us-core-profile ;
         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-0014"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0014
           ]
         ] )
       ]
     ] ) ;
     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-0015"
       ]
     ] [
       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 "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL** specify the full capability details from the US Core CapabilityStatement it claims to implement."
       ]
     ] [
       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#claiming-conformance-to-a-us-core-profile"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#claiming-conformance-to-a-us-core-profile ;
         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-0015"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0015
           ]
         ] )
       ]
     ] ) ;
     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-0016"
       ]
     ] [
       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 "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL**… Declare support for the US Core Profile by including its official URL in the Server’s CapabilityStatement.rest.resource.supportedProfile 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 "general-requirements.html#claiming-conformance-to-a-us-core-profile"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#claiming-conformance-to-a-us-core-profile ;
         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-0016"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0016
           ]
         ] )
       ]
     ] ) ;
     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-0017"
       ]
     ] [
       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 "[To claim conformance to a US Core Profile] a conformant Server: \n\n**SHALL**… Declare support for the US Core Profile’s FHIR RESTful 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 "general-requirements.html#claiming-conformance-to-a-us-core-profile"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#claiming-conformance-to-a-us-core-profile ;
         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-0017"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0017
           ]
         ] )
       ]
     ] ) ;
     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-0018"
       ]
     ] [
       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 "[Required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition means that one of the codes from the specified ValueSet **SHALL** be used."
       ]
     ] [
       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-0018"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0018
           ]
         ] )
       ]
     ] ) ;
     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-0019"
       ]
     ] [
       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 `CodeableConcept`, which permits multiple codings and a text element, this [[Required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition] rule applies to at least one of the codings"
       ]
     ] [
       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-0019"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0019
           ]
         ] )
       ]
     ] ) ;
     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/tools/StructureDefinition/requirements-statementshallnot"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       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-0020"
       ]
     ] [
       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 a [[required binding](http://hl7.org/fhir/R4/terminologies.html#required) to a ValueSet definition], a `CodeableConcept`which permits multiple codings and a text element … [using] only text is not valid."
       ]
     ] [
       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-0020"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0020
           ]
         ] )
       ]
     ] ) ;
     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-0021"
       ]
     ] [
       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 Responders **SHALL** provide a code exclusively 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-0021"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0021
           ]
         ] )
       ]
     ] ) ;
     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-0023"
       ]
     ] [
       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 "[Extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) means that one of the codes from the specified value set **SHALL** be used when an appropriate concept exists;…"
       ]
     ] [
       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-0023"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0023
           ]
         ] )
       ]
     ] ) ;
     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-0024"
       ]
     ] [
       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 using an [extensible Binding] (http://hl7.org/fhir/R4/terminologies.html#extensible)] If no suitable code exists in the [extensible] ValueSet, alternate code(s) **MAY**  be used.."
       ]
     ] [
       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-0024"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0024
           ]
         ] )
       ]
     ] ) ;
     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-0026"
       ]
     ] [
       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 "For `CodeableConcept` [with an [extensible binding] (http://hl7.org/fhir/R4/terminologies.html#extensible) … Text-only representation **SHOULD NOT** be used - coded values are expected whenever possible to support interoperability."
       ]
     ] [
       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-0026"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0026
           ]
         ] )
       ]
     ] ) ;
     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-0027"
       ]
     ] [
       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 ... [to a US Core profile extensible binding rule, a] US Core Responders **SHALL** provide:\nA code from … [the] valueset 'DataElement.code.code' if the concept exists in the valueset [for a DataElement.code that has an extensible binding]\nOr an alternative code if the concept does not exist in the valueset [for a DataElement.code that has an extensible binding]\nOr text in ... `[DataElement.code.text]’ if only text is available [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-0027"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0027
           ]
         ] )
       ]
     ] ) ;
     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-0029"
       ]
     ] [
       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 "Alternate codes **MAY** be provided in addition to the standard codes defined in required or extensible ValueSets. These alternate codes are called \"additional codings\"."
       ]
     ] [
       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#translations"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#translations ;
         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-0029"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0029
           ]
         ] )
       ]
     ] ) ;
     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-0030"
       ]
     ] [
       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 "[The additional codings] **MAY** be equivalent to or narrower in meaning than the standard concept code."
       ]
     ] [
       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#translations"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#translations ;
         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-0030"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0030
           ]
         ] )
       ]
     ] ) ;
     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-0033"
       ]
     ] [
       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 "Not all modifier elements are Mandatory or Must Support, and there is no requirement for supporting them"
       ]
     ] [
       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-0033"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0033
           ]
         ] )
       ]
     ] ) ;
     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-0034"
       ]
     ] [
       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 "Servers **MAY**  communicate a system-wide profile in their CapabilityStatement to identify which additional elements, including modifier elements, they support"
       ]
     ] [
       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-0034"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0034
           ]
         ] )
       ]
     ] ) ;
     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-0039"
       ]
     ] [
       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 the source system does not have data for an element with a minimum cardinality = 0 (including elements labeled Must Support), the data element **SHALL** be omitted from the 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0039"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0039
           ]
         ] )
       ]
     ] ) ;
     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-0040"
       ]
     ] [
       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 the data element is a Mandatory element (in other words, where the minimum cardinality is > 0), it **SHALL** be present even if the source system does not have 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0040"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0040
           ]
         ] )
       ]
     ] ) ;
     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-0041"
       ]
     ] [
       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 [mandatory] non-coded data elements [where data is not available], use the [DataAbsentReason Extension](http://hl7.org/fhir/R4/extension-data-absent-reason.html) in the data type ... [with] the code `unknown` - The value is expected to exist but is not known."
       ]
     ] [
       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#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0041"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0041
           ]
         ] )
       ]
     ] ) ;
     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-0042"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements … [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes) If the source system has text but no coded data, only the text element is used."
       ]
     ] [
       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#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0042"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0042
           ]
         ] )
       ]
     ] ) ;
     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-0043"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes):\nFor Coding datatypes, the text-only data is represented as a display 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0043"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0043
           ]
         ] )
       ]
     ] ) ;
     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-0044"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] use the appropriate “unknown” concept code from the ValueSet if 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0044"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0044
           ]
         ] )
       ]
     ] ) ;
     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-0045"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements… [with] *example*, *preferred*, or *extensible* binding strengths (CodeableConcept or Coding datatypes): … If there is neither text nor coded data ... [then] if the ValueSet does not have the appropriate “unknown” concept code, use unknown from the [DataAbsentReason Code System](http://hl7.org/fhir/R4/codesystem-data-absent-reason.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#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0045"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0045
           ]
         ] )
       ]
     ] ) ;
     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-0046"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements… [with] *required* binding strength (CodeableConcept or code datatypes): use the appropriate “unknown” concept code from the ValueSet if 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0046"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0046
           ]
         ] )
       ]
     ] ) ;
     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-0047"
       ]
     ] [
       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 "[In situations where data is not available] for [mandatory] coded data elements… [with] *required* binding strength (CodeableConcept or code datatypes): If the ValueSet does not have the appropriate “unknown” concept code, you must use a concept from the ValueSet. Otherwise, the instance will not be conformant"
       ]
     ] [
       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#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0047"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0047
           ]
         ] )
       ]
     ] ) ;
     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-0048"
       ]
     ] [
       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 the source system does not have data for a Mandatory element for a coded data element with *required* binding strength] If any of these status codes is missing [meaning it lacks an \"unknown\" or otherwise appropriate concept code from the ValueSet, a] 404 HTTP error code and an OperationOutcome **SHALL** be returned in response to a read transaction on the 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 "general-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0048"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0048
           ]
         ] )
       ]
     ] ) ;
     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-0049"
       ]
     ] [
       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 the source system does not have data for a Mandatory element for a coded data element with *required* binding strength, and the ValueSet does not have the appropriate \"unknown\" concept code, then] if returning a response to a search, the problematic resource **SHALL** be excluded from the search 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-requirements.html#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0049"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0049
           ]
         ] )
       ]
     ] ) ;
     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-0050"
       ]
     ] [
       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 source system does not have data for a Mandatory element for a coded data element with *required* binding strength, and the ValueSet does not have the appropriate \"unknown\" concept code, then] if returning a response to a search, … a *warning* OperationOutcome **SHOULD** be included indicating that other search results were found but could not be compliantly expressed and have been suppressed."
       ]
     ] [
       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#missing-data"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#missing-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 "general-requirements.html#CONF-0050"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0050
           ]
         ] )
       ]
     ] ) ;
     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-0051"
       ]
     ] [
       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 [FHIR RESTful Search API](http://hl7.org/fhir/R4/http.html#search) requires that Servers that support search **SHALL** support the HTTP `POST`-based search."
       ]
     ] [
       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-0051"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0051
           ]
         ] )
       ]
     ] ) ;
     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-0052"
       ]
     ] [
       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 all the supported search interactions in this guide, Servers **SHALL** also support the `GET`-based search."
       ]
     ] [
       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-0052"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0052
           ]
         ] )
       ]
     ] ) ;
     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-0055"
       ]
     ] [
       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 Server **SHALL** support both [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-0055"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0055
           ]
         ] )
       ]
     ] ) ;
     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-0058"
       ]
     ] [
       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 Server **SHALL** support both [id and Type 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-0058"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0058
           ]
         ] )
       ]
     ] ) ;
     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-0061"
       ]
     ] [
       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 Server **SHALL** support 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-0061"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0061
           ]
         ] )
       ]
     ] ) ;
     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-0062"
       ]
     ] [
       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 Server **SHALL** support 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-0062"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0062
           ]
         ] )
       ]
     ] ) ;
     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-0063"
       ]
     ] [
       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 "Servers **SHOULD** support a query for resources without requiring a status parameter."
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0063"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0063
           ]
         ] )
       ]
     ] ) ;
     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-0064"
       ]
     ] [
       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 business requirements prohibit [querying a resource without a status parameter], they **SHALL** follow the guidelines here."
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0064"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0064
           ]
         ] )
       ]
     ] ) ;
     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-0065"
       ]
     ] [
       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 "For searches where the Client does not supply a status parameter, an implementation’s business rules **MAY** override the FHIR RESTful search expectations and require a status parameter to be provided"
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0065"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0065
           ]
         ] )
       ]
     ] ) ;
     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-0066"
       ]
     ] [
       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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:\n\n**SHALL** return an HTTP 400 status"
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0066"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0066
           ]
         ] )
       ]
     ] ) ;
     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-0067"
       ]
     ] [
       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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:\n\n**SHALL** return an [OperationOutcome](http://hl7.org/fhir/R4/operationoutcome.html) specifying that status(es) must be 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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0067"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0067
           ]
         ] )
       ]
     ] ) ;
     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-0068"
       ]
     ] [
       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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:\n\n**SHALL** support search with status if status required"
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0068"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0068
           ]
         ] )
       ]
     ] ) ;
     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/tools/StructureDefinition/requirements-statementshallnot"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       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-0069"
       ]
     ] [
       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 " **SHALL NOT** restrict search results ( i.e., apply ‘hidden’ filters) when a Client includes status parameters in the query."
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0069"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0069
           ]
         ] )
       ]
     ] ) ;
     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-0070"
       ]
     ] [
       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 "[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried, it **SHOULD** return an HTTP 200 status with a search bundle."
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0070"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0070
           ]
         ] )
       ]
     ] ) ;
     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-0071"
       ]
     ] [
       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 "[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle **SHOULD** contain resources matching the search criteria"
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0071"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0071
           ]
         ] )
       ]
     ] ) ;
     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-0072"
       ]
     ] [
       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 "[For systems that require a status parameter to be provided,] if a system doesn’t support a specific status code value that is queried [and returns a search bundle],... [t]he search bundle **SHOULD** contain ... an OperationOutcome warning the Client which status code value is not supported."
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0072"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0072
           ]
         ] )
       ]
     ] ) ;
     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-0073"
       ]
     ] [
       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 searches where the Client does not supply a status parameter, … systems [that require a status parameter to be provided] are allowed to reject such requests as follows:...\n\n**SHALL** document this behavior in its CapabilityStatement for the “search-type” interaction in `CapabilityStatement.rest.resource.interaction.documentation.`"
       ]
     ] [
       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#search-for-Servers-requiring-status"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#search-for-Servers-requiring-status ;
         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-0073"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0073
           ]
         ] )
       ]
     ] ) ;
     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-0075"
       ]
     ] [
       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 Responders **SHALL** be capable of populating all data elements as part of the query results specified by the [US Core Server Capability Statement](https://hl7.org/fhir/us/core/STU8/CapabilityStatement-us-core-Server.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 "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-0075"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0075
           ]
         ] )
       ]
     ] ) ;
     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/tools/StructureDefinition/requirements-statementshallnot"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       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-0078"
       ]
     ] [
       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 " **SHALL NOT** include the data elements in the resource instance returned as part of the query results."
       ]
     ] [
       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-0078"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0078
           ]
         ] )
       ]
     ] ) ;
     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-0080"
       ]
     ] [
       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 "For querying and reading US Core Profiles, Must Support on any profile data element **SHALL** be interpreted as follows…:\n\nIn cases where information on a specific data element is missing, and the US Core Responder knows the precise reason for the absence of data (other than suppressed data), US Core Responders **SHOULD** send the reason for the 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-el+D647ements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-el+D647ements ;
         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-0080"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0080
           ]
         ] )
       ]
     ] ) ;
     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-0081"
       ]
     ] [
       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 sending reason for missing information, follow] the same methdology outlined in the [Missing Data](https://hl7.org/fhir/us/core/STU8/general-requirements.html#missing-data) section but using the appropriate reason code instead of unknown [reason code]."
       ]
     ] [
       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-0081"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0081
           ]
         ] )
       ]
     ] ) ;
     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-0084"
       ]
     ] [
       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 Responders] 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-0084"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0084
           ]
         ] )
       ]
     ] ) ;
     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-0086"
       ]
     ] [
       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 Responders] [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-0086"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0086
           ]
         ] )
       ]
     ] ) ;
     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-0087"
       ]
     ] [
       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 an element is marked as Must Support and defined by a pattern [as described by [ElementDefinition.pattern](http://hl7.org/fhir/R4/elementdefinition-definitions.html#ElementDefinition.pattern_x_)], then the pattern defines the elements and element values that the Server **SHALL** be capable of providing."
       ]
     ] [
       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#defined-pattern-elements"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#defined-pattern-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-0087"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0087
           ]
         ] )
       ]
     ] ) ;
     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-0090"
       ]
     ] [
       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 "Primitive elements are single elements with a primitive value. If they are marked as Must Support, then the Server **SHALL** be capable of providing the element value to meet the Must Support requirement."
       ]
     ] [
       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-0090"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0090
           ]
         ] )
       ]
     ] ) ;
     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-0091"
       ]
     ] [
       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 responders **SHALL** be  capable of providing 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-0091"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0091
           ]
         ] )
       ]
     ] ) ;
     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-0093"
       ]
     ] [
       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 any complex element marked as Must Support, the Server **SHALL** be capable of providing at least one of the sub-element 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 "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-0093"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0093
           ]
         ] )
       ]
     ] ) ;
     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-0094"
       ]
     ] [
       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 any sub-element is marked as Must Support [for a complex element], it **SHALL** also meet the Must Support requirements and satisfy the Must Support requirements for the parent 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-0094"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0094
           ]
         ] )
       ]
     ] ) ;
     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-0095"
       ]
     ] [
       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 "[I]f any sub-element is marked as Must Support or Additional USCDI [for a complex element] and the parent element is not, there is no expectation that you must support the parent."
       ]
     ] [
       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-0095"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0095
           ]
         ] )
       ]
     ] ) ;
     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-0096"
       ]
     ] [
       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 "[I]f any sub-element is marked as Must Support [for a complex element] and the parent element is not… [and] the parent element is present in an instance, Servers **SHALL** support the sub-element(s) marked as Must Support."
       ]
     ] [
       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-0096"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0096
           ]
         ] )
       ]
     ] ) ;
     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-0097"
       ]
     ] [
       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 Responders **SHALL** be  capable of providing a value in [the] 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-0097"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0097
           ]
         ] )
       ]
     ] ) ;
     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-0099"
       ]
     ] [
       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 Responders **SHALL** be  capable of providing a value 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-0099"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0099
           ]
         ] )
       ]
     ] ) ;
     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-0101"
       ]
     ] [
       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 Responders] 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-0101"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0101
           ]
         ] )
       ]
     ] ) ;
     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-0105"
       ]
     ] [
       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-0105"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0105
           ]
         ] )
       ]
     ] ) ;
     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-0107"
       ]
     ] [
       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 Responders] 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-0107"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0107
           ]
         ] )
       ]
     ] ) ;
     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-0109"
       ]
     ] [
       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-0109"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0109
           ]
         ] )
       ]
     ] ) ;
     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-0111"
       ]
     ] [
       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 Responders **SHALL** be capable of populating [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-0111"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0111
           ]
         ] )
       ]
     ] ) ;
     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-0114"
       ]
     ] [
       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 Responders] **MAY**  support populating ... 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-0114"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0114
           ]
         ] )
       ]
     ] ) ;
     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-0115"
       ]
     ] [
       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 Server  or Certifying System **SHALL** support at least one 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---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-0115"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0115
           ]
         ] )
       ]
     ] ) ;
     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-0117"
       ]
     ] [
       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 "An individual SMART Server will publish a granular list of its capabilities, and a set of these capabilities is combined to support a specific use, a Capability Set. See SMART App Launch’s [FHIR OAuth authorization Endpoints and Capabilities](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities) for more details. Servers **MAY**  support ... [any] SMART on FHIR Capability Sets and capabilities [(see [FHIR OAuth authorization Endpoints and Capabilities](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#smart-on-fhir-oauth-authorization-endpoints-and-capabilities))]"
       ]
     ] [
       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#capability-sets"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#capability-sets ;
         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-0117"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0117
           ]
         ] )
       ]
     ] ) ;
     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-0118"
       ]
     ] [
       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 "At least one of the following SMART on FHIR Capability Sets **SHOULD** be supported for US Core Servers that support User-Facing Applications ...\n[Patient Access Standalone Apps](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps)\n[Clinician Access for EHR Launch](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)"
       ]
     ] [
       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-user-facing-applications"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#capabilities-for-implementations-supporting-user-facing-applications ;
         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-0118"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0118
           ]
         ] )
       ]
     ] ) ;
     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-0119"
       ]
     ] [
       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 certified systems[, those participating in the ONC IT Health Certification program], both **SHALL** be  supported:\n[Patient Access Standalone Apps](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#patient-access-for-standalone-apps)\n[Clinician Access for EHR Launch](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#clinician-access-for-standalone)"
       ]
     ] [
       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-user-facing-applications"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#capabilities-for-implementations-supporting-user-facing-applications ;
         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-0119"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0119
           ]
         ] )
       ]
     ] ) ;
     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-0120"
       ]
     ] [
       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 Responders] supporting Backend Services ... **SHALL**  include support for the Client-confidential-asymmetric capability."
       ]
     ] [
       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-0120"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0120
           ]
         ] )
       ]
     ] ) ;
     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-0121"
       ]
     ] [
       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 Responders] supporting Backend Services ... **SHALL**  include support for the ... 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-0121"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0121
           ]
         ] )
       ]
     ] ) ;
     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-0123"
       ]
     ] [
       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 Server[s] **SHALL** support token introspection defined by the SMART App Launch Guide. For more details and additional consideration, see SMART App Launch’s [Token Introspection](https://hl7.org/fhir/smart-app-launch/STU2/token-introspection.html#token-introspection)."
       ]
     ] [
       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#us-core-Servers-shall-support-token-introspection"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#us-core-Servers-shall-support-token-introspection ;
         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-0123"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0123
           ]
         ] )
       ]
     ] ) ;
     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-0125"
       ]
     ] [
       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 "Other systems **MAY**  support scopes for the US Core APIs they support [instead of all US Core's required 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#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-0125"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0125
           ]
         ] )
       ]
     ] ) ;
     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-0126"
       ]
     ] [
       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 "Servers **MAY**  support other scopes in addition to those listed below and in the Quick Start sections."
       ]
     ] [
       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-0126"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0126
           ]
         ] )
       ]
     ] ) ;
     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-0128"
       ]
     ] [
       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 “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the [capability sets](https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets) above). For example, if a Server lists permission-patient and permission-user in its capabilities, it **SHALL** support both patient-level and user-level required 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#us-core-scopes"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#us-core-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-0128"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0128
           ]
         ] )
       ]
     ] ) ;
     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-0129"
       ]
     ] [
       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 "For “User-Facing Applications”, a system’s support for patient-level (patient) or user-level (user) scopes depends on its published list of SMART on FHIR capabilities (see the [capability sets](https://hl7.org/fhir/us/core/STU8/scopes.html#capability-sets) above). For example, if a Server lists permission-patient and permission-user in its capabilities, it ... **SHOULD** support both patient-level and user-level recommended best-practice 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#us-core-scopes"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#us-core-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-0129"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0129
           ]
         ] )
       ]
     ] ) ;
     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-0130"
       ]
     ] [
       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 “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes **SHALL** support the required US Core 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#us-core-scopes"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#us-core-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-0130"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0130
           ]
         ] )
       ]
     ] ) ;
     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-0131"
       ]
     ] [
       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 "For “Backend-Services”, System-level scopes (system) describe data that a Client system is directly authorized to access. Systems that support system-level (system) scopes **SHOULD** support the recommended US Core 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#us-core-scopes"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#us-core-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-0131"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0131
           ]
         ] )
       ]
     ] ) ;
     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-0132"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] AllergyIntolerance [the] <patient|user|system>/AllergyIntolerance.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes] \n"
       ]
     ] [
       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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0132"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0132
           ]
         ] )
       ]
     ] [
       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-allergyintolerance.html#us-core-scopes"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#us-core-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 "StructureDefinition-us-core-allergyintolerance.html#CONF-0132"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0132
           ]
         ] )
       ]
     ] ) ;
     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-0133"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] CarePlan [the] <patient|user|system>/CarePlan.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data scopes] \n"
       ]
     ] [
       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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0133"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0133
           ]
         ] )
       ]
     ] ) ;
     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-0134"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] CareTeam [the] <patient|user|system>/CareTeam.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0134"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0134
           ]
         ] )
       ]
     ] ) ;
     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-0135"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Condition [the] <patient|user|system>/Condition.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0135"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0135
           ]
         ] )
       ]
     ] ) ;
     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-0136"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Coverage [the] <patient|user|system>/Coverage.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0136"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0136
           ]
         ] )
       ]
     ] ) ;
     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-0137"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Device [the] <patient|user|system>/Device.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0137"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0137
           ]
         ] )
       ]
     ] ) ;
     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-0138"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] DiagnosticReport [the] <patient|user|system>/DiagnosticReport.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0138"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0138
           ]
         ] )
       ]
     ] ) ;
     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-0139"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] DocumentReference [the] <patient|user|system>/DocumentReference.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0139"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0139
           ]
         ] )
       ]
     ] ) ;
     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-0140"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Encounter [the] <patient|user|system>/Encounter.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0140"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0140
           ]
         ] )
       ]
     ] ) ;
     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-0141"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Goal [the] <patient|user|system>/Goal.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0141"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0141
           ]
         ] )
       ]
     ] ) ;
     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-0142"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Immunization [the] <patient|user|system>/Immunization.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0142"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0142
           ]
         ] )
       ]
     ] ) ;
     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-0143"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] MedicationDispense [the] <patient|user|system>/MedicationDispense.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0143"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0143
           ]
         ] )
       ]
     ] ) ;
     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-0144"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] MedicationRequest [the] <patient|user|system>/MedicationRequest.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0144"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0144
           ]
         ] )
       ]
     ] ) ;
     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-0145"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0145"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0145
           ]
         ] )
       ]
     ] ) ;
     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-0146"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Organization [the] <patient|user|system>/Organization.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0146"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0146
           ]
         ] )
       ]
     ] ) ;
     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-0147"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Patient [the] <patient|user|system>/Patient.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0147"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0147
           ]
         ] )
       ]
     ] ) ;
     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-0148"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Practitioner [the] <patient|user|system>/Practitioner.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0148"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0148
           ]
         ] )
       ]
     ] ) ;
     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-0149"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] PractitionerRole [the] <patient|user|system>/PractitionerRole.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0149"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0149
           ]
         ] )
       ]
     ] ) ;
     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-0150"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Procedure [the] <patient|user|system>/Procedure.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0150"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0150
           ]
         ] )
       ]
     ] ) ;
     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-0151"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Provenance [the] <patient|user|system>/Provenance.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0151"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0151
           ]
         ] )
       ]
     ] ) ;
     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-0152"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] QuestionnaireResponse [the] <patient|user|system>/QuestionnaireResponse.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0152"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0152
           ]
         ] )
       ]
     ] ) ;
     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-0153"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] RelatedPerson [the] <patient|user|system>/RelatedPerson.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0153"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0153
           ]
         ] )
       ]
     ] ) ;
     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-0154"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] ServiceRequest [the] <patient|user|system>/ServiceRequest.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0154"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0154
           ]
         ] )
       ]
     ] ) ;
     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-0155"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] Specimen [the] <patient|user|system>/Specimen.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0155"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0155
           ]
         ] )
       ]
     ] ) ;
     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-0156"
       ]
     ] [
       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 "The following scopes that correspond directly to FHIR resource types **MAY**  be supported\n...\n[For] Location [the] <patient|user|system>/Location.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0156"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0156
           ]
         ] )
       ]
     ] ) ;
     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-0157"
       ]
     ] [
       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 "The following scopes that correspond directly to FHIR resource types **MAY**  be supported\n...\n[For] Medication [the] <patient|user|system>/Medication.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0157"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0157
           ]
         ] )
       ]
     ] ) ;
     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-0158"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Condition [the] <patient|user|system>/Condition.rs?category=http://hl7.org/fhir/us/core/CodeSystem/condition-category|health-concern [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0158"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0158
           ]
         ] )
       ]
     ] ) ;
     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-0159"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Condition [the] <patient|user|system>/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|encounter-diagnosis [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0159"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0159
           ]
         ] )
       ]
     ] ) ;
     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-0160"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Condition [the] <patient|user|system>/Condition.rs?category=http://terminology.hl7.org/CodeSystem/condition-category|problem-list-item [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0160"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0160
           ]
         ] )
       ]
     ] ) ;
     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-0161"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-category|sdoh [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0161"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0161
           ]
         ] )
       ]
     ] ) ;
     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-0162"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org//CodeSystem-observation-category|social-history [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0162"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0162
           ]
         ] )
       ]
     ] ) ;
     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-0163"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|laboratory [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0163"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0163
           ]
         ] )
       ]
     ] ) ;
     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-0164"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|survey [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0164"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0164
           ]
         ] )
       ]
     ] ) ;
     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-0165"
       ]
     ] [
       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 following granular scopes **SHALL** be supported\n...\n[For] Observation [the] <patient|user|system>/Observation.rs?category=http://terminology.hl7.org/CodeSystem/observation-category|vital-signs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0165"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0165
           ]
         ] )
       ]
     ] ) ;
     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-0166"
       ]
     ] [
       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 following granular scopes **SHOULD** be supported\n...\n[For] DocumentReference [the] <patient|user|system>/DocumentReference.rs?category=http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category|clinical-note [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#granular-scopes-for-requesting-fhir-resources"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#granular-scopes-for-requesting-fhir-resources ;
         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-0166"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0166
           ]
         ] )
       ]
     ] ) ;
     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-0167"
       ]
     ] [
       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 "In addition to the capabilities defined in the Server’s CapabilityStatement, Servers **SHALL** document their SMART capabilities in their [Well-Known Uniform Resource Identifiers (URIs)](https://hl7.org/fhir/smart-app-launch/STU2/conformance.html#using-well-known) JSON file."
       ]
     ] [
       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#Servers-shall-support-the-following-metadata-in-their-well-knownsmart-configuration"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#Servers-shall-support-the-following-metadata-in-their-well-knownsmart-configuration ;
         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-0167"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0167
           ]
         ] )
       ]
     ] ) ;
     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-0168"
       ]
     ] [
       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 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 Server **SHALL** list all the required US Core Scopes for the US Core Profiles they support in the scopes_supported array"
       ]
     ] [
       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-0168"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0168
           ]
         ] )
       ]
     ] ) ;
     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-0169"
       ]
     ] [
       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 "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 Server [MAY support] additional scopes (so Clients **SHOULD**not consider … [the required scopes] an exhaustive list)."
       ]
     ] [
       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-0169"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0169
           ]
         ] )
       ]
     ] ) ;
     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-0170"
       ]
     ] [
       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 "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. Servers **MAY**   limit Clients’ scopes to those configured at registration time."
       ]
     ] [
       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-0170"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0170
           ]
         ] )
       ]
     ] ) ;
     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-0171"
       ]
     ] [
       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 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. … Servers **SHALL** allow users to select a subset of the requested scopes at the approval time."
       ]
     ] [
       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-0171"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0171
           ]
         ] )
       ]
     ] ) ;
     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-0173"
       ]
     ] [
       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 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] `introspection_endpoint` the URL to a Server’s introspection endpoint. ... Servers **SHALL** document this endpoint in the file"
       ]
     ] [
       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-0173"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0173
           ]
         ] )
       ]
     ] ) ;
     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-0174"
       ]
     ] [
       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 "Therefore, a [reference](http://hl7.org/fhir/R4/references.html) to a US Core resource **SHOULD** include a logical id (Reference.reference), not an identifier (Reference.identifier)."
       ]
     ] [
       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#referencing-us-core-profiles"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#referencing-us-core-profiles ;
         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-0174"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0174
           ]
         ] )
       ]
     ] ) ;
     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-0175"
       ]
     ] [
       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 "For all references, US Core Responders **SHOULD** return resources that conform to a US Core profile if a US Core profile exists for the resource type."
       ]
     ] [
       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#referencing-us-core-profiles"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#referencing-us-core-profiles ;
         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-0175"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0175
           ]
         ] )
       ]
     ] ) ;
     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-0176"
       ]
     ] [
       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 "When responding to a query, Servers **SHOULD** not use inline [contained](http://hl7.org/fhir/R4/references.html#contained) resources to represent the returned 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 "general-guidance.html#contained-resources"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#contained-resources ;
         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-0176"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0176
           ]
         ] )
       ]
     ] ) ;
     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-0177"
       ]
     ] [
       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 "[I]f referencing a contained resource in a US Core Profile, the contained resource **SHOULD** be a US Core Profile if a US Core Profile exists for the resource type."
       ]
     ] [
       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#contained-resources"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#contained-resources ;
         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-0177"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0177
           ]
         ] )
       ]
     ] ) ;
     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-0178"
       ]
     ] [
       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 "[M]asking data [where a specific piece of data is hidden for security and privacy reasons] **SHOULD** be handled based on implemented 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 "general-guidance.html#contained-resources"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#contained-resources ;
         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-0178"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0178
           ]
         ] )
       ]
     ] ) ;
     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-0179"
       ]
     ] [
       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 masking data] elements with a minimum cardinality = 0 (including elements labeled Must Support) [for security and privacy reasons], the element **SHOULD** be omitted from the 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 "general-guidance.html#contained-resources"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#contained-resources ;
         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-0179"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0179
           ]
         ] )
       ]
     ] ) ;
     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-0180"
       ]
     ] [
       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 masking] Mandatory elements (in other words, where the minimum cardinality is > 0) [for security and privacy reasons, use the code “unknown” following the guidance on Missing Data in the Conformance Sections."
       ]
     ] [
       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#contained-resources"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#contained-resources ;
         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-0180"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0180
           ]
         ] )
       ]
     ] ) ;
     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-0181"
       ]
     ] [
       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 using SNOMED codes in US Core Profiles I]mplementers **MAY**   use the default system URI [of [SNOMED CT](http://snomed.info/sct)], which refers to an unspecified edition/version [of SNOMED]"
       ]
     ] [
       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#snomed-ct-united-states-edition"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#snomed-ct-united-states-edition ;
         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-0181"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0181
           ]
         ] )
       ]
     ] ) ;
     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-0182"
       ]
     ] [
       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 enable] terminology Servers to be able to validate US Edition-only codes [of [SNOMED CT](http://snomed.info/sct)], implementers **SHOULD** provide the accompanying system URI to describe the edition [see example 2 on [US Core general guidance](https://hl7.org/fhir/us/core/STU8/general-guidance.html#snomed-ct-united-states-edition)]"
       ]
     ] [
       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#snomed-ct-united-states-edition"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#snomed-ct-united-states-edition ;
         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-0182"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0182
           ]
         ] )
       ]
     ] ) ;
     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-0183"
       ]
     ] [
       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 a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [then] systems **SHOULD**also use UCUM for the optional valueRange and valueRatio datatypes (which are complex datatypes with Quantity 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 "general-guidance.html#using-ucum-codes-in-the-quantity-datatype"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#using-ucum-codes-in-the-quantity-datatype ;
         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-0183"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0183
           ]
         ] )
       ]
     ] ) ;
     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-0184"
       ]
     ] [
       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 a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [when] UCUM code [is] provided [it **SHOULD** be indicated in the Quantity.unit and Quantity.code elements with Quantity.system = \"http://unitsofmeasure.org\"]"
       ]
     ] [
       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#using-ucum-codes-in-the-quantity-datatype"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#using-ucum-codes-in-the-quantity-datatype ;
         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-0184"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0184
           ]
         ] )
       ]
     ] ) ;
     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-0185"
       ]
     ] [
       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 a] US Core Profiles binds the Quantity.code element in the Quantity datatype to the [UCUM](http://unitsofmeasure.org/) code system, [then] if UCUM units are unavailable, represent units in the unit 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 "general-guidance.html#using-ucum-codes-in-the-quantity-datatype"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#using-ucum-codes-in-the-quantity-datatype ;
         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-0185"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0185
           ]
         ] )
       ]
     ] ) ;
     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-0186"
       ]
     ] [
       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** supply the unit field]"
       ]
     ] [
       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#using-ucum-codes-in-the-quantity-datatype"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#using-ucum-codes-in-the-quantity-datatype ;
         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-0186"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0186
           ]
         ] )
       ]
     ] ) ;
     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-0187"
       ]
     ] [
       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 "A FHIR Server **SHOULD** not delete records."
       ]
     ] [
       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#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0187"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0187
           ]
         ] )
       ]
     ] ) ;
     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-0188"
       ]
     ] [
       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 "A FHIR Server **SHOULD** update the appropriate resource status to entered-in-error or inactive [when requested to delete records]"
       ]
     ] [
       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#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0188"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0188
           ]
         ] )
       ]
     ] ) ;
     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-0189"
       ]
     ] [
       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 a system supports the deletion of records, they **SHOULD** refer to the [Deletion Safety Checks](http://hl7.org/fhir/R4/safety.html#conformance) in the FHIR 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 "general-guidance.html#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0189"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0189
           ]
         ] )
       ]
     ] ) ;
     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-0190"
       ]
     ] [
       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 "A FHIR Server **SHOULD** allow these resources [those entered in error] to be searchable by Client applications."
       ]
     ] [
       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#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0190"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0190
           ]
         ] )
       ]
     ] ) ;
     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-0191"
       ]
     ] [
       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 FHIR Server has updated the resource status to entered-in-error:\nFor patient facing applications, A FHIR Server **SHOULD** remove the resource’s contents, leaving only an id and status. Note that this typically will not conform to the US Core or FHIR StructureDefinitions."
       ]
     ] [
       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#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0191"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0191
           ]
         ] )
       ]
     ] ) ;
     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-0192"
       ]
     ] [
       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 the FHIR Server has updated the resource status to entered-in-error:\n...\nFor provider-facing applications, the content **MAY** be supplied with content and additional detail (such as the reason for the status change) that the patient viewing system would typically not have access to."
       ]
     ] [
       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#representing-deleted-and-entered-in-error-information"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#representing-deleted-and-entered-in-error-information ;
         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-0192"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0192
           ]
         ] )
       ]
     ] ) ;
     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-0193"
       ]
     ] [
       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 data provider **SHOULD** do their best to translate (safely) to the requested language [when accessing records in a native or requested language]"
       ]
     ] [
       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-0193"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0193
           ]
         ] )
       ]
     ] ) ;
     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-0195"
       ]
     ] [
       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 Clients request a resource in a specific language] Servers **SHOULD** make reasonable efforts to translate what can be safely translated."
       ]
     ] [
       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-0195"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0195
           ]
         ] )
       ]
     ] ) ;
     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-0196"
       ]
     ] [
       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 Clients request a resource in a specific language] Servers **SHOULD** populate the Resource’s language element with a code based on the underlying language of record, not the requested language.\n"
       ]
     ] [
       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-0196"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0196
           ]
         ] )
       ]
     ] ) ;
     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-0197"
       ]
     ] [
       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 Clients request a resource in a specific language] Servers **SHOULD** … [use] the [Human Language](http://hl7.org/fhir/R4/extension-language.html) Extension when the language of a display, etc, is known to differ from the stated (or inferred) language."
       ]
     ] [
       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-0197"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0197
           ]
         ] )
       ]
     ] ) ;
     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-0198"
       ]
     ] [
       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 Clients request a resource in a specific language] [Servers **SHOULD** use] the [Translation](http://hl7.org/fhir/R4/extension-translation.html) Extension when the Server provides additional translations by its own choice or in response to a different Accept-Language than what the resource is stored in."
       ]
     ] [
       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-0198"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0198
           ]
         ] )
       ]
     ] ) ;
     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-0199"
       ]
     ] [
       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 Clients request a resource in a specific language] Servers **SHOULD** make it known what languages are supported in their CapabilityStatement(s) using this extension:\nhttp://hl7.org/fhir/5.0/StructureDefinition/extension-CapablilityStatement.acceptLanguage [[definition](https://hl7.org/fhir/R5/capabilitystatement-definitions.html#CapabilityStatement.acceptLanguage)]"
       ]
     ] [
       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-0199"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0199
           ]
         ] )
       ]
     ] ) ;
     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-0200"
       ]
     ] [
       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 "Servers **SHOULD** support the [_lastUpdated](http://hl7.org/fhir/R4/search.html#lastUpdated) search parameter for US Core 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 "general-guidance.html#searching-using-lastupdated"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#searching-using-lastupdated ;
         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-0200"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0200
           ]
         ] )
       ]
     ] ) ;
     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-0201"
       ]
     ] [
       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 "Servers ... **SHOULD** populate [Resource.meta.lastUpdated](http://hl7.org/fhir/R4/resource.html#Meta) for US Core Profiles as accurately as possible."
       ]
     ] [
       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#searching-using-lastupdated"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#searching-using-lastupdated ;
         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-0201"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0201
           ]
         ] )
       ]
     ] ) ;
     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-0202"
       ]
     ] [
       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 **SHALL** document in CapabilityStatement.rest.resource.searchParam.documentation the types of changes that can be detected using the _lastUpdated search parameter"
       ]
     ] [
       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#searching-using-lastupdated"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#searching-using-lastupdated ;
         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-0202"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0202
           ]
         ] )
       ]
     ] ) ;
     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-0203"
       ]
     ] [
       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 "US Core Servers [MAY support compartment based searchs, but] are not required to support patient [compartment](http://hl7.org/fhir/R4/compartmentdefinition.html) based searches."
       ]
     ] [
       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#compartment-based-search"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#compartment-based-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-0203"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0203
           ]
         ] )
       ]
     ] ) ;
     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-0204"
       ]
     ] [
       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 "US Core Servers [MAY resolve absolute URLs, but] are not required to resolve absolute URLs external to their environment."
       ]
     ] [
       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#across-platform-searches"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#across-platform-searches ;
         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-0204"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0204
           ]
         ] )
       ]
     ] ) ;
     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-0205"
       ]
     ] [
       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 "Servers can [MAY] choose to return the results in a series of pages to manage the number of search results returned."
       ]
     ] [
       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#limiting-the-number-of-search-results"^^xsd:anyURI ;
         fhir:l fhir:general-guidance.html#limiting-the-number-of-search-results ;
         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-0205"^^xsd:anyURI ;
             fhir:l fhir:general-guidance.html#CONF-0205
           ]
         ] )
       ]
     ] ) ;
     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-0206"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Consultation Note (11488-4)](https://loinc.org/11488-4.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0206"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0206
           ]
         ] )
       ]
     ] [
       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-0206"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0206
           ]
         ] )
       ]
     ] ) ;
     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-0207"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Discharge Summary (18842-5)](https://loinc.org/18842-5.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0207"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0207
           ]
         ] )
       ]
     ] [
       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-0207"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0207
           ]
         ] )
       ]
     ] ) ;
     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-0208"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[History & Physical Note (34117-2)](https://loinc.org/34117-2.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0208"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0208
           ]
         ] )
       ]
     ] [
       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-0208"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0208
           ]
         ] )
       ]
     ] ) ;
     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-0209"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Procedures Note (28570-0)](https://loinc.org/28570-0.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0209"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0209
           ]
         ] )
       ]
     ] [
       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-0209"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0209
           ]
         ] )
       ]
     ] ) ;
     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-0210"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Progress Note (11506-3)](https://loinc.org/11506-3.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0210"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0210
           ]
         ] )
       ]
     ] [
       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-0210"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0210
           ]
         ] )
       ]
     ] ) ;
     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-0211"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Imaging Narrative (18748-4)](https://loinc.org/18748-4.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0211"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0211
           ]
         ] )
       ]
     ] [
       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-0211"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0211
           ]
         ] )
       ]
     ] ) ;
     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-0212"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Laboratory Report Narrative (11502-2)](https://loinc.org/11502-2.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0212"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0212
           ]
         ] )
       ]
     ] [
       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-0212"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0212
           ]
         ] )
       ]
     ] ) ;
     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-0213"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Pathology Report Narrative (11526-1)](https://loinc.org/11526-1.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0213"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0213
           ]
         ] )
       ]
     ] [
       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-0213"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0213
           ]
         ] )
       ]
     ] ) ;
     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-0214"
       ]
     ] [
       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 **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Cardiology (LP29708-2)](https://loinc.org/LP29708-2)"
       ]
     ] [
       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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0214"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0214
           ]
         ] )
       ]
     ] [
       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-0214"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0214
           ]
         ] )
       ]
     ] ) ;
     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-0215"
       ]
     ] [
       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 **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Pathology (LP7839-6)](https://loinc.org/LP7839-6)"
       ]
     ] [
       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#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0215"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0215
           ]
         ] )
       ]
     ] [
       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-0215"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0215
           ]
         ] )
       ]
     ] ) ;
     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-0216"
       ]
     ] [
       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 **SHALL** support, at minimum, these … DiagnosticReport categories:\n[Radiology (LP29684-5)](https://loinc.org/LP29684-5)"
       ]
     ] [
       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#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0216"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0216
           ]
         ] )
       ]
     ] [
       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-0216"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0216
           ]
         ] )
       ]
     ] ) ;
     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-0217"
       ]
     ] [
       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 are encouraged to support other common notes types, such as:\n[Referral Note (57133-1)](https://loinc.org/57133-1.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0217"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0217
           ]
         ] )
       ]
     ] ) ;
     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-0219"
       ]
     ] [
       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 are encouraged to support other common notes types, such as:\n[Nurse Note (34746-8)](https://loinc.org/34746-8.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0219"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0219
           ]
         ] )
       ]
     ] ) ;
     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-0220"
       ]
     ] [
       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 "To enable consistent access to scanned DiagnosticReport clinical reports, the FHIR Server **SHALL** expose these overlapping scanned or narrative-only reports through both DiagnosticReport and DocumentReference by representing the same attachment URL [as] DocumentReference.content.attachment.url [and] \nDiagnosticReport.presentedForm.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 "clinical-notes.html#fhir-resources-to-exchange-clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#fhir-resources-to-exchange-clinical-notes ;
         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-0220"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0220
           ]
         ] )
       ]
     ] ) ;
     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-0221"
       ]
     ] [
       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 DiagnosticReport.presentedForm.url references a Scan (PDF), that Attachment **SHALL** also be accessible through DocumentReference.content.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 "clinical-notes.html#fhir-resources-to-exchange-clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#fhir-resources-to-exchange-clinical-notes ;
         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-0221"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0221
           ]
         ] )
       ]
     ] ) ;
     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-0222"
       ]
     ] [
       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 [Servers] **MAY** extend their capabilities [around types of clinical notes] to the complete US Core DocumentReference Type Value 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 "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-0222"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0222
           ]
         ] )
       ]
     ] ) ;
     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-0223"
       ]
     ] [
       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 the [US Core DocumentReference Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-documentreference.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 "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-0223"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0223
           ]
         ] )
       ]
     ] ) ;
     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-0224"
       ]
     ] [
       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 the [US Core DiagnosticReport Profile for Report and Note exchange](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-diagnosticreport-note.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 "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-0224"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0224
           ]
         ] )
       ]
     ] ) ;
     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-0225"
       ]
     ] [
       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 [Servers] **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-0225"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0225
           ]
         ] )
       ]
     ] ) ;
     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-0227"
       ]
     ] [
       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 following **SHOULD** be exposed via DiagnosticReport: Imaging Narrative\n"
       ]
     ] [
       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-0227"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0227
           ]
         ] )
       ]
     ] ) ;
     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-0228"
       ]
     ] [
       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 following **SHOULD** be exposed via DiagnosticReport: Laboratory Report Narrative\n"
       ]
     ] [
       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-0228"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0228
           ]
         ] )
       ]
     ] ) ;
     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-0229"
       ]
     ] [
       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 following **SHOULD** be exposed via DiagnosticReport: Pathology Report Narrative\n"
       ]
     ] [
       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-0229"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0229
           ]
         ] )
       ]
     ] ) ;
     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-0230"
       ]
     ] [
       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 following **SHOULD** be exposed via DiagnosticReport: Procedure Note"
       ]
     ] [
       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-0230"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0230
           ]
         ] )
       ]
     ] ) ;
     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-0231"
       ]
     ] [
       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 that support DiagnosticReport **SHALL**  include the clinical note narrative content in  `DiagnosticReport.presentedForm`"
       ]
     ] [
       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-0231"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0231
           ]
         ] )
       ]
     ] ) ;
     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-0233"
       ]
     ] [
       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 "FHIR Server claiming support to this guide **SHOULD** support the $expand operation [[operation link](http://hl7.org/fhir/R4/valueset-operation-expand.html) to provide information to Clients requesting information on the note and report types the Server supports]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0233"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0233
           ]
         ] )
       ]
     ] ) ;
     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-0234"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=outgoing for DiagnosticReport report category discovery [for read operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0234"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0234
           ]
         ] )
       ]
     ] ) ;
     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-0235"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.category&contextDirection=incoming for DiagnosticReport report category discovery [for write operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0235"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0235
           ]
         ] )
       ]
     ] ) ;
     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-0236"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=outgoing for DiagnosticReport report type discovery [for read operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0236"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0236
           ]
         ] )
       ]
     ] ) ;
     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-0237"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.code&contextDirection=incoming for DiagnosticReport report type discovery [for write operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0237"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0237
           ]
         ] )
       ]
     ] ) ;
     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-0238"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=outgoing for DocumentReference note category discovery [for read operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0238"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0238
           ]
         ] )
       ]
     ] ) ;
     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-0239"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.category&contextDirection=incoming for DocumentReference note category discovery [for write operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0239"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0239
           ]
         ] )
       ]
     ] ) ;
     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-0240"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=outgoing for DocumentReference note type discovery [for read operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0240"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0240
           ]
         ] )
       ]
     ] ) ;
     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-0241"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation for discovering note and report types, then Servers **SHALL** support] the #expand operation as follows:\nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.type&contextDirection=incoming for DocumentReference note type discovery [for write operations]"
       ]
     ] [
       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#using-expand"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#using-expand ;
         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-0241"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0241
           ]
         ] )
       ]
     ] ) ;
     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-0242"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=outgoing for DiagnosticReport report content type discovery [for read operations]"
       ]
     ] [
       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#discovering-Server-read-and-write-formats"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#discovering-Server-read-and-write-formats ;
         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-0242"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0242
           ]
         ] )
       ]
     ] ) ;
     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-0243"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note#DiagnosticReport.presentedForm.contentType&contextDirection=incoming for DiagnosticReport report content type discovery [for write operations]"
       ]
     ] [
       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#discovering-Server-read-and-write-formats"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#discovering-Server-read-and-write-formats ;
         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-0243"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0243
           ]
         ] )
       ]
     ] ) ;
     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-0244"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&contextDirection=outgoing for DocumentReference note content type discovery [for read operations]"
       ]
     ] [
       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#discovering-Server-read-and-write-formats"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#discovering-Server-read-and-write-formats ;
         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-0244"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0244
           ]
         ] )
       ]
     ] ) ;
     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-0245"
       ]
     ] [
       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 Servers support the [$expand](http://hl7.org/fhir/R4/valueset-operation-expand.html) operation then] the note and report types for a particular Server [SHOULD be] discovered by invoking the #expand operation as follows: \nGET [base]/ValueSet/$expand?context=http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference#DocumentReference.content.attachment.contentType&contextDirection=incoming for DocumentReference note content type discovery [for write operations]"
       ]
     ] [
       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#discovering-Server-read-and-write-formats"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#discovering-Server-read-and-write-formats ;
         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-0245"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0245
           ]
         ] )
       ]
     ] ) ;
     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-0247"
       ]
     ] [
       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 using a code [to represent a medication][, the code **SHALL** follow the [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) binding rules to [Medication Clinical Drug (RxNorm)](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1010.4/expansion) - i.e., unless RxNorm does not cover the concept, the RxNorm code **SHALL** be  used."
       ]
     ] [
       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-0247"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0247
           ]
         ] )
       ]
     ] ) ;
     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-0248"
       ]
     ] [
       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 "USCDI recommends the [National Drug Codes (NDC)](https://www.fda.gov/drugs/drug-approvals-and-databases/national-drug-code-directory) as an optional medication terminology. They **MAY**  be supplied as an additional coding element [when representing a medication]"
       ]
     ] [
       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-0248"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0248
           ]
         ] )
       ]
     ] [
       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-0248"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0248
           ]
         ] )
       ]
     ] [
       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-0248"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0248
           ]
         ] )
       ]
     ] [
       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-medication.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medication.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-medication.html#CONF-0248"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medication.html#CONF-0248
           ]
         ] )
       ]
     ] ) ;
     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-0249"
       ]
     ] [
       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 referencing the Medication resource, the resource **MAY** be included in the returned bundle, as an external resource, or as a [contained](http://hl7.org/fhir/R4/references.html#contained) resource if it can’t stand alone. … The Server application **MAY**  choose any combination of these methods"
       ]
     ] [
       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-0249"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0249
           ]
         ] )
       ]
     ] ) ;
     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-0250"
       ]
     ] [
       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 an external reference to Medication is used, the Server **SHALL** support the [_include](http://hl7.org/fhir/R4/search.html#include) parameter for searching this 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 "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-0250"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0250
           ]
         ] )
       ]
     ] ) ;
     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-0252"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nA MedicationRequest resource query **SHALL** be all that is required to access \"all medications\" or \"all active medications\" for a patient. (In other words, no other medication resource type needs to be fetched)"
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0252"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0252
           ]
         ] )
       ]
     ] ) ;
     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-0253"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nThe [MedicationRequest resource] query result **SHALL** include all MedicationRequest resources with a `MedicationRequest.intent` = \"order\" representing authorized medication orders directly derived from the system's orders."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0253"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0253
           ]
         ] )
       ]
     ] ) ;
     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-0254"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nThe [MedicationRequest resource] query result **SHALL** include all prescribed and \"self-prescribed\" MedicationRequest resources with a `MedicationRequest.intent` = \"plan\" representing reported medications."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0254"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0254
           ]
         ] )
       ]
     ] ) ;
     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-0256"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers **SHALL** use the `MedicationRequest.reported[x]` element to indicate that the MedicationRequest record was captured as a secondary \"reported\" record rather than an original primary source-of-truth record."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0256"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0256
           ]
         ] )
       ]
     ] ) ;
     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-0258"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nWhen recording \"self-prescribed\" medication, Servers **SHOULD** use the `MedicationRequest.requester` element to indicate the Patient or RelatedPerson is the prescriber."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0258"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0258
           ]
         ] )
       ]
     ] ) ;
     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-0259"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers **SHOULD** support the encounter search parameter. "
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0259"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0259
           ]
         ] )
       ]
     ] ) ;
     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-0260"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\n[If Servers support the encounter search parameter, s]earching by encounter will return all medications ordered during that encounter, including medications administered in the hospital and prescribed or discharge medications intended to be taken at home."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0260"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0260
           ]
         ] )
       ]
     ] ) ;
     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-0262"
       ]
     ] [
       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 "Requirements to access “all medications” [all historical, active, and future prescribed medications and medications entered in error and whose status is unknown.] and “all active medications” [all medications with an active status. Active medications do not include past, future, unknown status, and entered-in-error medications.] for a patient:\nServers **MAY**  support the search parameters `category`and `encounter`. This search will return all medications ordered during an encounter for a given MedicationRequest.category such as \"inpatient\"."
       ]
     ] [
       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#fetching-all-medications-active-medications-and-all-medications-for-an-encounter"^^xsd:anyURI ;
         fhir:l fhir:medication-list.html#fetching-all-medications-active-medications-and-all-medications-for-an-encounter ;
         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-0262"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0262
           ]
         ] )
       ]
     ] ) ;
     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-0263"
       ]
     ] [
       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 "To provide a list of a patient’s medications, it **MAY** be necessary to “de-duplicate” them. The de-duplication activity **MAY**  be  supplied by the Server"
       ]
     ] [
       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-0263"^^xsd:anyURI ;
             fhir:l fhir:medication-list.html#CONF-0263
           ]
         ] )
       ]
     ] ) ;
     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-0267"
       ]
     ] [
       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 "An agent.type=”assembler”, agent.type=”transmitter”, or other agents from [Provenance Agent Type](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-provenance-participant-type.html) value set **MAY**  also be included."
       ]
     ] [
       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 "basic-provenance.html#hie-transformation"^^xsd:anyURI ;
         fhir:l fhir:basic-provenance.html#hie-transformation ;
         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 "basic-provenance.html#CONF-0267"^^xsd:anyURI ;
             fhir:l fhir:basic-provenance.html#CONF-0267
           ]
         ] )
       ]
     ] ) ;
     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-0268"
       ]
     ] [
       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 "implementers [of US Core's framework of Screening and Assessments] **SHOULD** consider more constrained, domain-specific profiles derived from the US Core Profiles to meet the needs of their respective use cases."
       ]
     ] [
       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#introduction"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#introduction ;
         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-0268"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0268
           ]
         ] )
       ]
     ] ) ;
     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-0269"
       ]
     ] [
       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 "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n\n**SHALL** support representing clinical judgments using [US Core Condition Problems and Health Concerns Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-condition-problems-health-concerns.html) or [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-simple-observation.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 "screening-and-assessments.html#clinical-judgments"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#clinical-judgments ;
         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-0269"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0269
           ]
         ] )
       ]
     ] ) ;
     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-0270"
       ]
     ] [
       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 "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nThe US Core Simple Observation Profile's Observation.derivedFrom element **SHOULD** reference the [Structured Screening and Assessment](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments) upon which clinical judgment observations are made"
       ]
     ] [
       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#clinical-judgments"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#clinical-judgments ;
         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-0270"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0270
           ]
         ] )
       ]
     ] ) ;
     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-0271"
       ]
     ] [
       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 "Every Server that supports the USDCI Data Class “Health Status/Assessments”:\n...\nthe US Core Condition Profile's Condition.evidence.detail element **SHOULD** reference the [Structured Screening and Assessment](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#structured-screening-and-assessments) which assist in diagnosing problems or health concerns."
       ]
     ] [
       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#clinical-judgments"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#clinical-judgments ;
         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-0271"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0271
           ]
         ] )
       ]
     ] ) ;
     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-0272"
       ]
     ] [
       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 "For API developers using US Core, it’s important to understand when to use the QuestionnaireResponse versus Observation to represent structured assessments and surveys. Here are some guidelines to help choose the appropriate profile:\nObservations represent specific point-in-time facts that need to be searched, trended, the subject of statistical analysis, and directly referenced in support of other actions ... anything that meets one of the preceding criteria **SHOULD** be surfaced as an Observation."
       ]
     ] [
       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#choosing-between-questionnaireresponse-and-observation"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#choosing-between-questionnaireresponse-and-observation ;
         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-0272"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0272
           ]
         ] )
       ]
     ] ) ;
     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-0280"
       ]
     ] [
       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 "Implementers **SHOULD** treat these [USCDI Health Status Assessments Data Element] value sets as having an [extensible](http://hl7.org/fhir/R4/terminologies.html#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 "screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets ;
         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-0280"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0280
           ]
         ] )
       ]
     ] ) ;
     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-0281"
       ]
     ] [
       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 recording SDOH data [with] US Core Profiles, Servers **SHOULD** use … [Social Determinants of Health Conditions Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion), [Social Determinants of Health Procedures Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.789/expansion), [Social Determinants of Health Goals Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion), [and] [Social Determinants of Health Service Requests Value Set](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.790/expansion)"
       ]
     ] [
       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#uscdi-health-assessments-data-element-value-sets"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#uscdi-health-assessments-data-element-value-sets ;
         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-0281"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0281
           ]
         ] )
       ]
     ] ) ;
     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-0287"
       ]
     ] [
       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 "Servers **SHOULD** maintain a stable common identifier for a resource 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-0287"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0287
           ]
         ] )
       ]
     ] ) ;
     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-0288"
       ]
     ] [
       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 "In an upgraded R4 endpoint, any data in FHIR DSTU2 **SHOULD** be in FHIR 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-0288"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0288
           ]
         ] )
       ]
     ] ) ;
     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-0289"
       ]
     ] [
       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-0289"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0289
           ]
         ] )
       ]
     ] ) ;
     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-0290"
       ]
     ] [
       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-0290"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0290
           ]
         ] )
       ]
     ] ) ;
     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-0291"
       ]
     ] [
       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-0291"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0291
           ]
         ] )
       ]
     ] ) ;
     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-0295"
       ]
     ] [
       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 "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows."
       ]
     ] [
       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-0295"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0295
           ]
         ] )
       ]
     ] ) ;
     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-0296"
       ]
     ] [
       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 "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\nMedicationStatement 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-0296"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0296
           ]
         ] )
       ]
     ] ) ;
     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-0297"
       ]
     ] [
       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 "Servers **SHOULD** make available the same information in DSTU2 and R4 where the more recent standard allows … [with the] exception [of]\ncare teams, as represented by CarePlan, **SHOULD** be 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-0297"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0297
           ]
         ] )
       ]
     ] ) ;
     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-0298"
       ]
     ] [
       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 "Data **SHOULD** be maintained between [FHIR] versions (i.e., not be degraded)."
       ]
     ] [
       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-0298"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0298
           ]
         ] )
       ]
     ] ) ;
     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-0300"
       ]
     ] [
       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 allow Clients to use a single authorization token when accessing resources from multiple version-specific endpoints, Servers **SHOULD** use the same base authorization endpoint across 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#authorization-across-versions"^^xsd:anyURI ;
         fhir:l fhir:changes-between-versions.html#authorization-across-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-0300"^^xsd:anyURI ;
             fhir:l fhir:changes-between-versions.html#CONF-0300
           ]
         ] )
       ]
     ] ) ;
     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-0302"
       ]
     ] [
       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 clinical status of the allergy] **SHALL** be  present if verification status is not “entered-in-error”"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0302"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0302
           ]
         ] )
       ]
     ] ) ;
     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/tools/StructureDefinition/requirements-statementshallnot"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       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-0303"
       ]
     ] [
       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 clinical status of the allergy] **SHALL NOT**  be present if verification Status is “entered-in-error”"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0303"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0303
           ]
         ] )
       ]
     ] ) ;
     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-0305"
       ]
     ] [
       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 "No Known Allergies **MAY** be represented using the US Core-AllergyIntolerance 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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0305"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0305
           ]
         ] )
       ]
     ] ) ;
     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-0306"
       ]
     ] [
       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 No Known Allergies is documented the system **SHALL** use an] appropriate negation code in AllergyIntolerance.code"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0306"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0306
           ]
         ] )
       ]
     ] ) ;
     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-0307"
       ]
     ] [
       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 No Known Allergies is documented the system **SHALL** use an] verification status in AllergyIntolerance.verificationStatus"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0307"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0307
           ]
         ] )
       ]
     ] ) ;
     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-0308"
       ]
     ] [
       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 a patient has not been asked about their allergies, this would be represented as:\nAllergyIntolerance.code = “1631000175102” (Patient not asked (contextual qualifier) (qualifier value))\nAllergyIntolerance.verificationStatus = “unconfirmed” or empty (in other words, the element omitted)"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0308"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0308
           ]
         ] )
       ]
     ] ) ;
     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-0309"
       ]
     ] [
       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 a patient has been asked, but has indicated they have no known allergies, this would be represented as:\nAllergyIntolerance.code = “716186003” (No known allergy (situation))\nAllergyIntolerance.verificationStatus = “confirmed”"
       ]
     ] [
       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-allergyintolerance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-allergyintolerance.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-allergyintolerance.html#CONF-0309"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-allergyintolerance.html#CONF-0309
           ]
         ] )
       ]
     ] ) ;
     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-0310"
       ]
     ] [
       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 "Considerations for systems aligning with [HL7 Consolidated (C-CDA)](http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: US Core Goal **SHOULD** be present in CarePlan.goal"
       ]
     ] [
       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-careplan.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careplan.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-careplan.html#CONF-0310"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careplan.html#CONF-0310
           ]
         ] )
       ]
     ] ) ;
     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-0311"
       ]
     ] [
       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 "Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: ... US Core Condition **SHOULD** be present in CarePlan.addresses"
       ]
     ] [
       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-careplan.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careplan.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-careplan.html#CONF-0311"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careplan.html#CONF-0311
           ]
         ] )
       ]
     ] ) ;
     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-0312"
       ]
     ] [
       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 "Considerations for systems aligning with [HL7 Consolidated (C-CDA)] (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=492) Care Plan requirements: Assessment and Plan **MAY**  be  included as narrative in CarePlan.text"
       ]
     ] [
       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-careplan.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-careplan.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-careplan.html#CONF-0312"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careplan.html#CONF-0312
           ]
         ] )
       ]
     ] ) ;
     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-0313"
       ]
     ] [
       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 "Although both US Core Practitioner Profile and US Core PractitionerRole are Must Support, ... Server system[s conforming to the US Core CareTeam profile are] ... not required to support references to both, but **SHALL** support at least one of them"
       ]
     ] [
       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-0313"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0313
           ]
         ] )
       ]
     ] ) ;
     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-0317"
       ]
     ] [
       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 conforming to the US Core CareTeam profile] Because the US Core PractitionerRole Profile supplies the provider’s location and contact information and a reference to the Practitioner, Server systems [conforming to the US Core CareTeam profile] **SHOULD** reference it instead of the US Core Practitioner Profile [when conforming to the US Core CareTeam 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-0317"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0317
           ]
         ] )
       ]
     ] ) ;
     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-0318"
       ]
     ] [
       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 [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL**  provide implementation-specific guidance on how to access a provider’s location ... information using only the Practitioner 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 "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-0318"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0318
           ]
         ] )
       ]
     ] ) ;
     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-0319"
       ]
     ] [
       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 [conforming to the US Core CareTeam profile] that support only US Core Practitioner Profile and do not support the US Core PractitionerRole Profile **SHALL**  provide implementation-specific guidance on how to access a provider’s ... contact information using only the Practitioner 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 "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-0319"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-careteam.html#CONF-0319
           ]
         ] )
       ]
     ] ) ;
     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-0323"
       ]
     ] [
       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 "USCDI’s applicable vocabulary standards for Encounter Diagnosis are SNOMED CT and ICD-10-CM. The US Core Condition Codes only supports ICD-9-CM for historical purposes. When using ICD codes, only non-header ICD-10-CM codes **SHOULD** be used as the primary code for current encounter diagnoses."
       ]
     ] [
       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-condition-encounter-diagnosis.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.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-condition-encounter-diagnosis.html#CONF-0323"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0323
           ]
         ] )
       ]
     ] [
       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-condition-problems-health-concerns.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.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-condition-problems-health-concerns.html#CONF-0323"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0323
           ]
         ] )
       ]
     ] ) ;
     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-0324"
       ]
     ] [
       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 "[A US Core Condition Encounter Diagnosis] encounter **SHOULD** always be referenced in Condition.encounter."
       ]
     ] [
       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-condition-encounter-diagnosis.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.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-condition-encounter-diagnosis.html#CONF-0324"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0324
           ]
         ] )
       ]
     ] ) ;
     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-0331"
       ]
     ] [
       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 category is \"problem-list-item\", Condition.clinicalStatus **SHOULD** be 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 "StructureDefinition-us-core-condition-problems-health-concerns.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.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-condition-problems-health-concerns.html#CONF-0331"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0331
           ]
         ] )
       ]
     ] ) ;
     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-0332"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect: New problems and health concerns "
       ]
     ] [
       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-condition-problems-health-concerns.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.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-condition-problems-health-concerns.html#CONF-0332"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0332
           ]
         ] )
       ]
     ] ) ;
     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-0333"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect:\nChanges in the clinical status or verification status of problems or health concerns."
       ]
     ] [
       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-condition-problems-health-concerns.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.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-condition-problems-health-concerns.html#CONF-0333"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0333
           ]
         ] )
       ]
     ] ) ;
     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-0334"
       ]
     ] [
       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 coverage.type of “81” (Self-pay) **MAY**  be  used to imply that the patient has no coverage or that an individual or organization other than an insurer is taking responsibility for payment for a portion of the health care costs."
       ]
     ] [
       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-coverage.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-coverage.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-coverage.html#CONF-0334"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-coverage.html#CONF-0334
           ]
         ] )
       ]
     ] ) ;
     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-0336"
       ]
     ] [
       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 differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes [when sending Coverage.type]: [For] Part A and B [use] 121 (Medicare Fee For Service)"
       ]
     ] [
       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-coverage.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-coverage.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-coverage.html#CONF-0336"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-coverage.html#CONF-0336
           ]
         ] )
       ]
     ] ) ;
     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-0337"
       ]
     ] [
       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 differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes: [For] Part C (Medicare Advantage Plan) [use] 111 (Medicare HMO), 112 (Medicare PPO), 113 (Medicare POS)"
       ]
     ] [
       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-coverage.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-coverage.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-coverage.html#CONF-0337"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-coverage.html#CONF-0337
           ]
         ] )
       ]
     ] ) ;
     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-0338"
       ]
     ] [
       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 differentiate Medicare Parts A, B, C, and D systems **SHOULD** use the following codes: [For] Part D [use] 122 (Medicare Drug Benefit)"
       ]
     ] [
       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-coverage.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-coverage.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-coverage.html#CONF-0338"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-coverage.html#CONF-0338
           ]
         ] )
       ]
     ] ) ;
     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-0339"
       ]
     ] [
       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 Insurers issue unique member IDs for dependents, then the memberId Coverage.identifier **SHOULD**be used [with the unique dependent ID] instead of Coverage.dependent to uniquely refer to the dependent with respect to their insurance."
       ]
     ] [
       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-coverage.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-coverage.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-coverage.html#CONF-0339"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-coverage.html#CONF-0339
           ]
         ] )
       ]
     ] ) ;
     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-0341"
       ]
     ] [
       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 "Implementers **SHOULD** use the FDA Global UDI Database (GUDID) and associated APIs to parse and validate the [unique device ID] UDI"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0341"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0341
           ]
         ] )
       ]
     ] ) ;
     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-0342"
       ]
     ] [
       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 "Medical devices with UDI information **SHALL** represent the UDI code in Device.udiCarrier.carrierHRF"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0342"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0342
           ]
         ] )
       ]
     ] ) ;
     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-0343"
       ]
     ] [
       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 "UDI-PI elements present [in Device.udiCarrier.carrierHRF] **SHALL** be  represented in the corresponding US Core Device Profile 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 "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0343"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0343
           ]
         ] )
       ]
     ] ) ;
     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-0344"
       ]
     ] [
       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 UDI is not present and the manufacturer … is available, … [it] **SHOULD** be included to support historical reports of implantable medical devices [where] manufacturer [is sent in] Device.manufacturer"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0344"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0344
           ]
         ] )
       ]
     ] ) ;
     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-0345"
       ]
     ] [
       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 UDI is not present and the ... model number information is available, … [it] **SHOULD** be included to support historical reports of implantable medical devices [where] model [is sent in] Device.model"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0345"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0345
           ]
         ] )
       ]
     ] ) ;
     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-0347"
       ]
     ] [
       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 "Records of implanted devices **MAY**  be  queried against UDI data, including: UDI HRF string (udi-carrier)"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0347"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0347
           ]
         ] )
       ]
     ] ) ;
     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-0348"
       ]
     ] [
       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 "Records of implanted devices **MAY**  be  queried against UDI data, including:UDI Device Identifier (udi-di)"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0348"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0348
           ]
         ] )
       ]
     ] ) ;
     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-0349"
       ]
     ] [
       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 "Records of implanted devices **MAY**  be  queried against UDI data, including: Manufacturer (manufacturer)"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0349"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0349
           ]
         ] )
       ]
     ] ) ;
     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-0350"
       ]
     ] [
       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 "Records of implanted devices **MAY**  be  queried against UDI data, including: Model number (model)"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0350"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0350
           ]
         ] )
       ]
     ] ) ;
     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-0351"
       ]
     ] [
       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 "Implementers **MAY**  also adopt custom SearchParameters for searching by lot numbers"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0351"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0351
           ]
         ] )
       ]
     ] ) ;
     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-0352"
       ]
     ] [
       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 "Implementers **MAY**  also adopt custom SearchParameters for searching by serial number"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0352"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0352
           ]
         ] )
       ]
     ] ) ;
     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-0353"
       ]
     ] [
       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 "Implementers **MAY**  also adopt custom SearchParameters for searching by expiration 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 "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0353"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0353
           ]
         ] )
       ]
     ] ) ;
     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-0354"
       ]
     ] [
       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 "Implementers **MAY**  also adopt custom SearchParameters for searching by manufacture 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 "StructureDefinition-us-core-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0354"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0354
           ]
         ] )
       ]
     ] ) ;
     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-0355"
       ]
     ] [
       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 "Implementers **MAY**  also adopt custom SearchParameters for searching by distinct identifier"
       ]
     ] [
       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-device.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-device.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-device.html#CONF-0355"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-device.html#CONF-0355
           ]
         ] )
       ]
     ] ) ;
     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-0356"
       ]
     ] [
       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 diagnostically relevant time (known as the “effective time” and typically the time of specimen collection) … **SHALL** be  present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’."
       ]
     ] [
       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-diagnosticreport-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.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-diagnosticreport-lab.html#CONF-0356"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0356
           ]
         ] )
       ]
     ] [
       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-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0356"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0356
           ]
         ] )
       ]
     ] ) ;
     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-0357"
       ]
     ] [
       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 the report was released … **SHALL** be  present if status [of the diagnostic report] is ‘partial’, ‘preliminary’, ‘final’, ‘amended’, ‘corrected’, or ‘appended’."
       ]
     ] [
       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-diagnosticreport-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.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-diagnosticreport-lab.html#CONF-0357"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0357
           ]
         ] )
       ]
     ] ) ;
     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-0358"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect New laboratory reports. "
       ]
     ] [
       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-diagnosticreport-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.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-diagnosticreport-lab.html#CONF-0358"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0358
           ]
         ] )
       ]
     ] ) ;
     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-0359"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect changes in the status of laboratory reports, including events that trigger the same status (e.g., amended → amended)."
       ]
     ] [
       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-diagnosticreport-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.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-diagnosticreport-lab.html#CONF-0359"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-lab.html#CONF-0359
           ]
         ] )
       ]
     ] ) ;
     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-0361"
       ]
     ] [
       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 "Other [diagnostic report] categories **MAY** be supported [when using US Core DiagnosticReport Profile for Report and Note Exchange]"
       ]
     ] [
       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-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0361"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0361
           ]
         ] )
       ]
     ] ) ;
     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-0364"
       ]
     ] [
       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 "For Diagnostic Imaging Reports systems **SHOULD** support using the subset of LOINC codes listed in Table 4: LOINC® Document Type Codes in *HL7 Standard for CDA® Release 2: Imaging Integration; Basic Imaging Reports in CDA and DICOM, Release 1*"
       ]
     ] [
       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-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0364"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0364
           ]
         ] )
       ]
     ] ) ;
     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-0366"
       ]
     ] [
       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 "The DocumentReference.type binding **MAY** extend to the whole [US Core DocumentReference Type Value Set](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-documentreference-type.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-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-0366"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0366
           ]
         ] )
       ]
     ] ) ;
     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-0367"
       ]
     ] [
       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 "[DocumentReference.type **MAY** also use] other category schemes such as the LOINC-based [Document Class Value Set](http://hl7.org/fhir/R4/valueset-document-classcodes.html) and [IHE XDSclassCode](https://wiki.ihe.net/index.php/XDS_classCode_Metadata_Coding_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 "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-0367"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0367
           ]
         ] )
       ]
     ] ) ;
     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-0368"
       ]
     ] [
       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 "Although both [DocumentReference.attachment.url and DocumentReference.attachment.data] are marked as Must Support, the Server system is not required to support an address and inline base64 encoded data, but **SHALL** support at least one of these elements."
       ]
     ] [
       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-0368"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0368
           ]
         ] )
       ]
     ] [
       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-0368"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0368
           ]
         ] )
       ]
     ] ) ;
     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-0372"
       ]
     ] [
       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 there are multiple DocumentReference.content element repetitions, these **SHALL** all represent the same document in different formats or attachment metadata"
       ]
     ] [
       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-0372"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0372
           ]
         ] )
       ]
     ] [
       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-0372"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0372
           ]
         ] )
       ]
     ] ) ;
     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/tools/StructureDefinition/requirements-statementshallnot"^^xsd:anyURI ;
         fhir:l <http://hl7.org/fhir/tools/StructureDefinition/requirements-statementshallnot>
       ] ;
       fhir:value [
         a fhir:Boolean ;
         fhir:v true
       ]
     ] [
       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-0373"
       ]
     ] [
       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 [documentReference.content] element **SHALL NOT** contain different versions of the same content."
       ]
     ] [
       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-0373"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0373
           ]
         ] )
       ]
     ] [
       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-0373"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0373
           ]
         ] )
       ]
     ] ) ;
     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-0374"
       ]
     ] [
       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 organization responsible for the DocumentReference **SHALL** be  present either in DocumentReference.custodian or accessible in the Provenance resource targeting the DocumentReference using Provenance.agent.who or Provenance.agent.onBehalfOf"
       ]
     ] [
       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-0374"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.html#CONF-0374
           ]
         ] )
       ]
     ] [
       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-0374"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0374
           ]
         ] )
       ]
     ] ) ;
     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-0375"
       ]
     ] [
       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 "Although ... marked as Must Support, Servers are not required to support both [an Encounter.reasonCode or a reference with Encounter.reasonReference], but they **SHALL** support at least one of these 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 "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-0375"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0375
           ]
         ] )
       ]
     ] ) ;
     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-0378"
       ]
     ] [
       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 Encounter.reasonReference references an Observation, it **SHOULD** conform to a US Core Observation [profile applicable to the observation being made]"
       ]
     ] [
       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-0378"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0378
           ]
         ] )
       ]
     ] ) ;
     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-0379"
       ]
     ] [
       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 "Although … marked as Must Support, Servers are not required to support both Encounter.location.location and Encounter.serviceProvider, but they **SHALL** support at least one of these 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 "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-0379"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0379
           ]
         ] )
       ]
     ] ) ;
     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-0382"
       ]
     ] [
       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 event facility/location differs from the Encounter.location, systems **SHOULD** reference it directly"
       ]
     ] [
       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-0382"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0382
           ]
         ] )
       ]
     ] [
       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-location.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-location.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-location.html#CONF-0382"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-location.html#CONF-0382
           ]
         ] )
       ]
     ] ) ;
     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-0383"
       ]
     ] [
       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 the event facility/location differs from the Encounter.location, … systems **SHALL** use the location element for all resources where the element is 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 "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-0383"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0383
           ]
         ] )
       ]
     ] [
       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-location.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-location.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-location.html#CONF-0383"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-location.html#CONF-0383
           ]
         ] )
       ]
     ] ) ;
     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-0384"
       ]
     ] [
       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 the event facility/location differs from the Encounter.location … systems **MAY**   use the standard [Event Location Extension](http://hl7.org/fhir/StructureDefinition/event-location) for US Core DiagnosticReport Profile for Laboratory Results Reporting and US Core Observation Clinical Result 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-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-0384"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0384
           ]
         ] )
       ]
     ] [
       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-location.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-location.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-location.html#CONF-0384"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-location.html#CONF-0384
           ]
         ] )
       ]
     ] ) ;
     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-0385"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect New encounters/visits"
       ]
     ] [
       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-0385"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0385
           ]
         ] )
       ]
     ] ) ;
     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-0386"
       ]
     ] [
       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 "Updates to .meta.lastUpdated **SHOULD** reflect changes in the status of encounters, including events that trigger the same status (e.g., in-progress → in-progress)."
       ]
     ] [
       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-0386"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0386
           ]
         ] )
       ]
     ] ) ;
     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-0387"
       ]
     ] [
       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 "Although both Goal.startDate and Goal.target.dueDate are marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these 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 "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-0387"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-goal.html#CONF-0387
           ]
         ] )
       ]
     ] ) ;
     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-0390"
       ]
     ] [
       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 **SHALL** use the status code: not-done to represent that an immunization was not given."
       ]
     ] [
       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-immunization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-immunization.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-immunization.html#CONF-0390"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-immunization.html#CONF-0390
           ]
         ] )
       ]
     ] ) ;
     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-0399"
       ]
     ] [
       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 referencing a Medication resource in .medicationReference, the resource **MAY** be [contained](http://hl7.org/fhir/R4/references.html#contained)"
       ]
     ] [
       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-0399"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0399
           ]
         ] )
       ]
     ] [
       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-0399"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0399
           ]
         ] )
       ]
     ] ) ;
     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-0400"
       ]
     ] [
       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 referencing a Medication resource in .medicationReference, the resource **MAY** be an external 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 "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-0400"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0400
           ]
         ] )
       ]
     ] [
       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-0400"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0400
           ]
         ] )
       ]
     ] ) ;
     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-0401"
       ]
     ] [
       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 Server systems are not required to support both a [medication] code and a reference [when sending medicationDispense], but **SHALL** support at least one of these methods"
       ]
     ] [
       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-0401"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0401
           ]
         ] )
       ]
     ] [
       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-0401"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0401
           ]
         ] )
       ]
     ] ) ;
     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-0402"
       ]
     ] [
       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 an external reference to a Medication resource is used, the Server **SHALL** support the [_include](http://hl7.org/fhir/R4/search.html#include) parameter for searching this 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-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-0402"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationdispense.html#CONF-0402
           ]
         ] )
       ]
     ] [
       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-0402"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0402
           ]
         ] )
       ]
     ] ) ;
     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-0407"
       ]
     ] [
       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 recording “self-prescribed” medication, requester **SHOULD** be used to indicate the Patient or RelatedPerson as the prescriber"
       ]
     ] [
       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-0407"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0407
           ]
         ] )
       ]
     ] ) ;
     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-0408"
       ]
     ] [
       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 "Although [medicationRequest.reportedBoolean and MedicationRequest.reportedReference] are both marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these 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 "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-0408"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0408
           ]
         ] )
       ]
     ] ) ;
     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-0416"
       ]
     ] [
       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 "[For organizations participating in the ONC Health IT Certification program,] the referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-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-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-0416"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0416
           ]
         ] )
       ]
     ] ) ;
     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-0417"
       ]
     ] [
       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 "Source EHR identifiers **SHOULD** be included to support deduplication across MedicationRequest 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 "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-0417"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0417
           ]
         ] )
       ]
     ] ) ;
     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-0419"
       ]
     ] [
       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 "The observations **MAY**   have additional codes that translate or map to the Observation code or category codes [such as] … local system-specific codes [and] …more specific codes"
       ]
     ] [
       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-average-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.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-average-blood-pressure.html#CONF-0419"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.html#CONF-0419
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0419"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0419
           ]
         ] )
       ]
     ] [
       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-treatment-intervention-preference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.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-treatment-intervention-preference.html#CONF-0419"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0419
           ]
         ] )
       ]
     ] ) ;
     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-0420"
       ]
     ] [
       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 "[For an Observation a] code system value **SHOULD** be supplied for each additional code"
       ]
     ] [
       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-average-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.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-average-blood-pressure.html#CONF-0420"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.html#CONF-0420
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0420"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0420
           ]
         ] )
       ]
     ] [
       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-treatment-intervention-preference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.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-treatment-intervention-preference.html#CONF-0420"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0420
           ]
         ] )
       ]
     ] ) ;
     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-0421"
       ]
     ] [
       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 "Because the blood pressure values are communicated in the mandatory systolic and diastolic components [when using the US Core Average Blood Pressure Profile,] the Observation.value[x] element **SHALL** be  omitted"
       ]
     ] [
       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-average-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.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-average-blood-pressure.html#CONF-0421"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-average-blood-pressure.html#CONF-0421
           ]
         ] )
       ]
     ] ) ;
     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-0422"
       ]
     ] [
       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 context or precondition of a patient’s [care experience] preference **SHOULD** be supplied in the Observation.valueString or in an extension"
       ]
     ] [
       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-care-experience-preference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-care-experience-preference.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-care-experience-preference.html#CONF-0422"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-care-experience-preference.html#CONF-0422
           ]
         ] )
       ]
     ] [
       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-treatment-intervention-preference.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.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-treatment-intervention-preference.html#CONF-0422"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-treatment-intervention-preference.html#CONF-0422
           ]
         ] )
       ]
     ] ) ;
     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-0423"
       ]
     ] [
       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 "Servers **SHOULD** use the base FHIR [Observation Category Codes] (http://hl7.org/fhir/R4/valueset-observation-category.html) [in Observation.category]"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0423"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0423
           ]
         ] )
       ]
     ] ) ;
     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-0424"
       ]
     ] [
       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** support Observation.effectivePeriod to accurately represent measurements over time"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0424"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0424
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0424"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0424
           ]
         ] )
       ]
     ] ) ;
     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-0425"
       ]
     ] [
       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 "An Observation.component without a value, **SHALL**  include a reason why the data is absent"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0425"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0425
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0425"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0425
           ]
         ] )
       ]
     ] [
       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-0425"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0425
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0425"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0425
           ]
         ] )
       ]
     ] ) ;
     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-0426"
       ]
     ] [
       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 that never provide a component observation without a component value **MAY**  choose not to support Observation.component.dataAbsentReason"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0426"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0426
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0426"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0426
           ]
         ] )
       ]
     ] [
       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-0426"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0426
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0426"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0426
           ]
         ] )
       ]
     ] ) ;
     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-0427"
       ]
     ] [
       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 "An Observation without a value, **SHALL**  include a reason why the data is absent"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0427"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0427
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0427"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0427
           ]
         ] )
       ]
     ] [
       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-0427"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0427
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0427"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0427
           ]
         ] )
       ]
     ] ) ;
     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-0428"
       ]
     ] [
       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 "[For] an Observation without a value … [Systems **MAY**  choose not to] include a reason why the data is absent … [if] there are component observations or … reporting panel observations using Observation.hasMember"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0428"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0428
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0428"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0428
           ]
         ] )
       ]
     ] [
       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-0428"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0428
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0428"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0428
           ]
         ] )
       ]
     ] ) ;
     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-0429"
       ]
     ] [
       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 that never provide an observation without a value **MAY**  choose not to support Observation.dataAbsentReason"
       ]
     ] [
       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-clinical-result.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.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-clinical-result.html#CONF-0429"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-clinical-result.html#CONF-0429
           ]
         ] )
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0429"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0429
           ]
         ] )
       ]
     ] [
       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-0429"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0429
           ]
         ] )
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0429"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0429
           ]
         ] )
       ]
     ] ) ;
     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-0430"
       ]
     ] [
       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 sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated **SHOULD** reflect new laboratory observations"
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0430"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0430
           ]
         ] )
       ]
     ] ) ;
     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-0431"
       ]
     ] [
       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 sending US Core Laboratory Results Observation Profile] updates to .meta.lastUpdated **SHOULD** reflect changes in the status of laboratory observations, including events that trigger the same status (e.g., amended → amended)"
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0431"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0431
           ]
         ] )
       ]
     ] ) ;
     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-0432"
       ]
     ] [
       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 sending US Core Observation Occupation Profile] for … [a] current job ,systems **SHALL** omit observation.effectivePeriod.end to indicate it is ongoing."
       ]
     ] [
       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-occupation.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-occupation.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-occupation.html#CONF-0432"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-occupation.html#CONF-0432
           ]
         ] )
       ]
     ] ) ;
     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-0433"
       ]
     ] [
       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 the industry is known, but the occupation is not, systems **SHALL** use the value “unknown” from the [DataAbsentReason Code System](http://hl7.org/fhir/R4/codesystem-data-absent-reason.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-observation-occupation.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-occupation.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-occupation.html#CONF-0433"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-occupation.html#CONF-0433
           ]
         ] )
       ]
     ] ) ;
     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-0434"
       ]
     ] [
       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 the occupation is known but the industry is not, systems **SHALL** omit the industry Observation.component"
       ]
     ] [
       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-occupation.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-occupation.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-occupation.html#CONF-0434"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-occupation.html#CONF-0434
           ]
         ] )
       ]
     ] ) ;
     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-0437"
       ]
     ] [
       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 "[For] multi-question surveys or assessments Observation.code is an overarching assessment or screening code, and the Observation.value element **SHOULD** be empty"
       ]
     ] [
       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-0437"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0437
           ]
         ] )
       ]
     ] ) ;
     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-0438"
       ]
     ] [
       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 "A practitioner’s clinical observation or assertion about a patient’s health status, which is not a response to a screening or assessment question, **SHOULD** use the [US Core Simple Observation Profile](https://hl7.org/fhir/us/core/StructureDefinition-us-core-simple-observation.html) instead [of the US Core Observation Screening Assessment 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-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-0438"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0438
           ]
         ] )
       ]
     ] ) ;
     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-0439"
       ]
     ] [
       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 Server system ... **SHALL** support [either] Reference(US Core Observation Screening Assessment Profile) or 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-0439"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0439
           ]
         ] )
       ]
     ] ) ;
     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-0441"
       ]
     ] [
       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 "Observations formally part of an assessment tool or survey **SHOULD** use the [US Core Observation Screening Assessment Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-observation-screening-assessment.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-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-0441"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-simple-observation.html#CONF-0441
           ]
         ] )
       ]
     ] ) ;
     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-0442"
       ]
     ] [
       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 "An assertion or determination derived from screening and assessment tools **SHOULD** reference them using 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-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-0442"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-simple-observation.html#CONF-0442
           ]
         ] )
       ]
     ] ) ;
     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-0443"
       ]
     ] [
       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 using `Observation.derivedFrom’ to reference an Observation, the referenced Observation **SHOULD** be a US Core Observation"
       ]
     ] [
       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-0443"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-simple-observation.html#CONF-0443
           ]
         ] )
       ]
     ] ) ;
     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-0447"
       ]
     ] [
       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 "[US Core Vital Signs] observations **MAY**   have [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations … [see] FHIR core specification [vital signs table](http://hl7.org/fhir/R4/observation-vitalsigns.html#vitals-table) for examples"
       ]
     ] [
       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-vital-signs.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-vital-signs.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-vital-signs.html#CONF-0447"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-vital-signs.html#CONF-0447
           ]
         ] )
       ]
     ] ) ;
     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-0448"
       ]
     ] [
       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 "Information about the growth chart tables used to determine percentiles **SHOULD** be supplied in Observation.note.text"
       ]
     ] [
       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-pediatric-bmi-for-age.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-pediatric-bmi-for-age.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-pediatric-bmi-for-age.html#CONF-0448"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-pediatric-bmi-for-age.html#CONF-0448
           ]
         ] )
       ]
     ] [
       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-pediatric-weight-for-height.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-pediatric-weight-for-height.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-pediatric-weight-for-height.html#CONF-0448"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-pediatric-weight-for-height.html#CONF-0448
           ]
         ] )
       ]
     ] [
       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-head-occipital-frontal-circumference-percentile.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-head-occipital-frontal-circumference-percentile.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-head-occipital-frontal-circumference-percentile.html#CONF-0448"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-head-occipital-frontal-circumference-percentile.html#CONF-0448
           ]
         ] )
       ]
     ] ) ;
     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-0449"
       ]
     ] [
       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 "[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] the Observation.value[x] element **SHOULD** be omitted"
       ]
     ] [
       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-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-blood-pressure.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-blood-pressure.html#CONF-0449"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-blood-pressure.html#CONF-0449
           ]
         ] )
       ]
     ] ) ;
     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-0450"
       ]
     ] [
       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 "[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] an Observation without a systolic or diastolic result value, **SHALL**  include a reason why the data is absent in Observation.component.dataAbsentReason"
       ]
     ] [
       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-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-blood-pressure.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-blood-pressure.html#CONF-0450"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-blood-pressure.html#CONF-0450
           ]
         ] )
       ]
     ] ) ;
     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-0451"
       ]
     ] [
       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 "[In the US Core Blood Pressure Profile] because the blood pressure values are communicated in the mandatory systolic and diastolic components[,] All Server systems - including those that never provide a component observation without a value - **SHALL** support Observation.component.dataAbsentReason for the components."
       ]
     ] [
       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-blood-pressure.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-blood-pressure.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-blood-pressure.html#CONF-0451"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-blood-pressure.html#CONF-0451
           ]
         ] )
       ]
     ] ) ;
     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-0452"
       ]
     ] [
       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 "Inspired oxygen therapy **MAY** be represented with [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations when measured at the same time as the pulse oximetry measurements [in the US Core Pulse Oximetry 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-pulse-oximetry.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.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-pulse-oximetry.html#CONF-0452"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.html#CONF-0452
           ]
         ] )
       ]
     ] ) ;
     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-0453"
       ]
     ] [
       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 "Many pulse oximetry readings are taken while the patient is breathing room air. The concept of “room air” (unmodified, ambient air) **SHOULD** be represented as an inhaled oxygen flow rate of 0 liters/min"
       ]
     ] [
       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-pulse-oximetry.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.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-pulse-oximetry.html#CONF-0453"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.html#CONF-0453
           ]
         ] )
       ]
     ] ) ;
     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-0454"
       ]
     ] [
       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 "A pulse oximetry reading without inspired oxygen component observations **MAY** imply that the measurement was performed while the patient was breathing room air or that the inspired oxygen reading was omitted. To remove this uncertainty, the inspired oxygen [component](http://hl7.org/fhir/R4/observation.html#gr-comp) observations **SHOULD** be used [when using the US Core Pulse Oximetry 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-pulse-oximetry.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.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-pulse-oximetry.html#CONF-0454"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-pulse-oximetry.html#CONF-0454
           ]
         ] )
       ]
     ] ) ;
     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-0455"
       ]
     ] [
       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** support National Provider Identifier (NPI) for organizations"
       ]
     ] [
       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-organization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-organization.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-organization.html#CONF-0455"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-organization.html#CONF-0455
           ]
         ] )
       ]
     ] ) ;
     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-0456"
       ]
     ] [
       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** the National Association of Insurance Commissioners NAIC Company code (sometimes called “NAIC Number” or “cocode”) for payers."
       ]
     ] [
       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-organization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-organization.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-organization.html#CONF-0456"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-organization.html#CONF-0456
           ]
         ] )
       ]
     ] ) ;
     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-0457"
       ]
     ] [
       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** support Clinical Laboratory Improvement Amendments (CLIA) for laboratories"
       ]
     ] [
       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-organization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-organization.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-organization.html#CONF-0457"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-organization.html#CONF-0457
           ]
         ] )
       ]
     ] ) ;
     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-0461"
       ]
     ] [
       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 "The Complex [Extension] for Race ... allow[s] for one or more codes of which **MAY**   include additional codes from the detailed ethnicity ... value sets drawn from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0461"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0461
           ]
         ] )
       ]
     ] ) ;
     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-0462"
       ]
     ] [
       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 Complex [Extension] for Race ... allow[s] for one or more codes of which **SHALL**  include a text description [of category codes when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0462"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0462
           ]
         ] )
       ]
     ] ) ;
     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-0463"
       ]
     ] [
       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 "The Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which **MAY**   include additional codes from the detailed ... race value sets drawn from the [Race & Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system [when using the [US Core Race Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-race.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-0463"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0463
           ]
         ] )
       ]
     ] ) ;
     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-0464"
       ]
     ] [
       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 Complex [Extension] for ... Ethnicity allow[s] for one or more codes of which **SHALL**  include a text description [of category codes when using the [US Core Ethnicity Extension] (https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-ethnicity.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-0464"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0464
           ]
         ] )
       ]
     ] ) ;
     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-0466"
       ]
     ] [
       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** represent *Previous name*  by setting `Patient.name.use` to \"old\" or providing an end date in `Patient.name.period` or doing 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-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-0466"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0466
           ]
         ] )
       ]
     ] ) ;
     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-0467"
       ]
     ] [
       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** represent *Previous Address* by setting `Patient.address.use` to \"old\" or providing an end date in `Patient.address.period` or doing 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-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-0467"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0467
           ]
         ] )
       ]
     ] ) ;
     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-0470"
       ]
     ] [
       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 "Non-certifying systems[, systems that are not participating in the ONC Health IT certification program,] **SHOULD** follow the [Project US@ Technical Specification for Patient Addresses Final Version 1.0](https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf) as the standard style guide for Patient.address.line and Patient.address.city for new and updated records."
       ]
     ] [
       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-0470"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0470
           ]
         ] )
       ]
     ] ) ;
     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-0471"
       ]
     ] [
       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 "[For systems participating in the ONC Health IT certification program,] this requirement [to follow the [Project US@ Technical Specification for Patient Addresses Final Version 1.0](https://asapnet.org/wp-content/uploads/2022/03/Project_US_FINAL_Technical_Specification_Version_1.0.pdf) for Patient.address.line and Patient.address.city]. Both certifying and non-certifying systems **MAY**  choose not to use Project US@ for historical records or documents that are not exposed through FHIR-based APIs."
       ]
     ] [
       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-0471"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0471
           ]
         ] )
       ]
     ] ) ;
     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-0472"
       ]
     ] [
       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** be used as a patient identifier in Patient.identifier.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 "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-0472"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0472
           ]
         ] )
       ]
     ] ) ;
     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-0473"
       ]
     ] [
       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 that support only the US Core Practitioner Profile and do not support the [US Core PractitionerRole Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-practitionerrole.html) **SHALL**  provide implementation-specific guidance on how to access a provider’s location and contact information using only the Practitioner 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 "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-0473"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0473
           ]
         ] )
       ]
     ] ) ;
     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-0474"
       ]
     ] [
       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 "Although Practitioner.address is marked as Must Support, the Server system **MAY**  choose not to support it if they support the 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-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-0474"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0474
           ]
         ] )
       ]
     ] ) ;
     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-0475"
       ]
     ] [
       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 using the US Core Practitioner Profile] Practitioner.address … **SHALL**[be supported] if … [the Server does] not support the 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-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-0475"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0475
           ]
         ] )
       ]
     ] ) ;
     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-0477"
       ]
     ] [
       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 "Only professional/work contact information about the practitioner **SHOULD** be available to the patient"
       ]
     ] [
       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-0477"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0477
           ]
         ] )
       ]
     ] ) ;
     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-0480"
       ]
     ] [
       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 using LOINC codes in procedure.code] only LOINC concepts that reflect actual procedures **SHOULD** be used"
       ]
     ] [
       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-0480"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0480
           ]
         ] )
       ]
     ] ) ;
     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-0486"
       ]
     ] [
       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 Servers **SHALL** support at least one target resource 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-0486"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0486
           ]
         ] )
       ]
     ] ) ;
     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-0488"
       ]
     ] [
       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 "[For organizations participating in the ONC Health IT Certification program,] when using Procedure.reasonReference …The referenced resources **SHOULD** be a US Core Profile as documented in [Referencing US Core Profiles](https://hl7.org/fhir/us/core/STU8/general-guidance.html#referencing-us-core-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-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-0488"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0488
           ]
         ] )
       ]
     ] ) ;
     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-0489"
       ]
     ] [
       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 US Core Provenance resource **SHALL** be supported for these US Core resource types:\nAllergyIntolerance, CarePlan, CareTeam, Condition, Coverage, Device, DiagnosticReport, DocumentReference, Encounter, Goal, Immunization, MedicationDispense, MedicationRequest, Observation, Patient, Procedure, QuestionnaireResponse, RelatedPerson, ServiceRequest"
       ]
     ] [
       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-provenance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-provenance.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-provenance.html#CONF-0489"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-provenance.html#CONF-0489
           ]
         ] )
       ]
     ] ) ;
     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-0508"
       ]
     ] [
       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 system receives a provider in Provenance.agent.who as free text, they must capture [the organization] who sent them the information [and upon] request ... **SHALL**  provide this organization as the source"
       ]
     ] [
       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-provenance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-provenance.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-provenance.html#CONF-0508"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-provenance.html#CONF-0508
           ]
         ] )
       ]
     ] ) ;
     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-0509"
       ]
     ] [
       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 system receives a provider in Provenance.agent.who as free text, … [upon request they] **MAY**   include the free text provider."
       ]
     ] [
       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-provenance.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-provenance.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-provenance.html#CONF-0509"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-provenance.html#CONF-0509
           ]
         ] )
       ]
     ] ) ;
     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-0514"
       ]
     ] [
       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 "The Must Support `ServiceRequest.category` is bound, at a minimum, to the [US Core ServiceRequest Category Codes](https://hl7.org/fhir/us/core/STU8/ValueSet-us-core-servicerequest-category.html), and other category codes **MAY**  be used."
       ]
     ] [
       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-0514"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0514
           ]
         ] )
       ]
     ] ) ;
     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-0515"
       ]
     ] [
       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 ServiceRequest.code value ... **SHOULD** be constrained to a subset for a particular use case or domain"
       ]
     ] [
       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-0515"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0515
           ]
         ] )
       ]
     ] ) ;
     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-0523"
       ]
     ] [
       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 "Since the binding [for Specimen.type and additional USCDI elements] is [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) when a code is unavailable, servers **MAY**  use text."
       ]
     ] [
       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-0523"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-specimen.html#CONF-0523
           ]
         ] )
       ]
     ] [
       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-medication.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-medication.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-medication.html#CONF-0523"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medication.html#CONF-0523
           ]
         ] )
       ]
     ] ) ;
     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-0524"
       ]
     ] [
       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 "Although both Specimen.identifier and Specimen.accessionIdentifier are marked as Must Support, the Server system is not required to support both, but **SHALL** support at least one of these 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 "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-0524"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-specimen.html#CONF-0524
           ]
         ] )
       ]
     ] ) ;
     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-0550"
       ]
     ] [
       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-0550"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0550
           ]
         ] )
       ]
     ] ) ;
     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-0552"
       ]
     ] [
       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-0552"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0552
           ]
         ] )
       ]
     ] ) ;
     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-0554"
       ]
     ] [
       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-0554"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0554
           ]
         ] )
       ]
     ] ) ;
     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-0556"
       ]
     ] [
       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-0556"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0556
           ]
         ] )
       ]
     ] ) ;
     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-0558"
       ]
     ] [
       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-0558"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0558
           ]
         ] )
       ]
     ] ) ;
     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-0560"
       ]
     ] [
       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-0560"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0560
           ]
         ] )
       ]
     ] ) ;
     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-0562"
       ]
     ] [
       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-0562"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0562
           ]
         ] )
       ]
     ] ) ;
     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-0564"
       ]
     ] [
       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-0564"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0564
           ]
         ] )
       ]
     ] ) ;
     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-0566"
       ]
     ] [
       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-0566"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0566
           ]
         ] )
       ]
     ] ) ;
     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-0568"
       ]
     ] [
       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-0568"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0568
           ]
         ] )
       ]
     ] ) ;
     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-0570"
       ]
     ] [
       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 2.0.0](http://hl7.org/fhir/smart-app-launch/history.html) and later 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-0570"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0570
           ]
         ] )
       ]
     ] ) ;
     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-0572"
       ]
     ] [
       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-0572"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0572
           ]
         ] )
       ]
     ] ) ;
     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-0574"
       ]
     ] [
       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-0574"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0574
           ]
         ] )
       ]
     ] ) ;
     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-0576"
       ]
     ] [
       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-0576"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0576
           ]
         ] )
       ]
     ] ) ;
     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-0578"
       ]
     ] [
       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-0578"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0578
           ]
         ] )
       ]
     ] ) ;
     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-0580"
       ]
     ] [
       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-0580"^^xsd:anyURI ;
             fhir:l fhir:security.html#CONF-0580
           ]
         ] )
       ]
     ] ) ;
     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-0804"
       ]
     ] [
       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 any sub-element is marked as *Additional USCDI* [for a complex element], it must also meet the *Additional USCDI* requirements and satisfy the *Additional USCDI* requirements for the parent 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-0804"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0804
           ]
         ] )
       ]
     ] ) ;
     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-0808"
       ]
     ] [
       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, the target profile **SHALL** be supported."
       ]
     ] [
       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-targets-for-us-core-profiles"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-targets-for-us-core-profiles ;
         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-0808"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0808
           ]
         ] )
       ]
     ] ) ;
     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-0810"
       ]
     ] [
       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, the Must Support target profile(s) **SHALL** be supported."
       ]
     ] [
       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-targets-for-us-core-profiles"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support-targets-for-us-core-profiles ;
         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-0810"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0810
           ]
         ] )
       ]
     ] ) ;
     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-0813"
       ]
     ] [
       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] slicer's Must Support property only defines the element level Must Support...[, i.e.,] no Must Support... property is defined for the slice, then support for that slice's definition is 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#must-support---slices"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---slices ;
         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-0813"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0813
           ]
         ] )
       ]
     ] ) ;
     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-0818"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Surgical Operation Note (11504-8)](https://loinc.org/11504-8.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0818"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0818
           ]
         ] )
       ]
     ] ) ;
     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-0819"
       ]
     ] [
       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 **SHALL** support, at minimum, these … \"Common Clinical Notes\":\n[Emergency Department Note (34111-5)](https://loinc.org/34111-5.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 "clinical-notes.html#clinical-notes"^^xsd:anyURI ;
         fhir:l fhir:clinical-notes.html#clinical-notes ;
         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-0819"^^xsd:anyURI ;
             fhir:l fhir:clinical-notes.html#CONF-0819
           ]
         ] )
       ]
     ] ) ;
     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-0821"
       ]
     ] [
       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 "Servers that support the USCDI Health Status/Assessments Data Class ... **SHOULD** support the SDC Base Questionnaire and the US Core QuestionnaireResponse 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 "screening-and-assessments.html#structured-screening-and-assessments"^^xsd:anyURI ;
         fhir:l fhir:screening-and-assessments.html#structured-screening-and-assessments ;
         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-0821"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0821
           ]
         ] )
       ]
     ] ) ;
     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-0822"
       ]
     ] [
       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 Simple Observation Profile, Servers **SHALL** support all the category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)."
       ]
     ] [
       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-0822"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0822
           ]
         ] )
       ]
     ] ) ;
     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-0823"
       ]
     ] [
       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 Profiles, Servers **SHALL** support all the category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)."
       ]
     ] [
       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-0823"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0823
           ]
         ] )
       ]
     ] ) ;
     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-0824"
       ]
     ] [
       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 Condition Problems and Health Concerns Profile, Servers **SHALL** support the code ,\"sdoh\""
       ]
     ] [
       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-0824"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0824
           ]
         ] )
       ]
     ] ) ;
     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-0825"
       ]
     ] [
       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 "For the US Core Condition Problems and Health Concerns Profile, Servers **SHOULD** support the other category codes [listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)."
       ]
     ] [
       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-0825"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0825
           ]
         ] )
       ]
     ] ) ;
     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-0826"
       ]
     ] [
       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 "For the US Core ServiceRequest Profile, Servers **SHOULD** support all the [[listed](https://hl7.org/fhir/us/core/STU8/screening-and-assessments.html#category-codes)] category codes."
       ]
     ] [
       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-0826"^^xsd:anyURI ;
             fhir:l fhir:screening-and-assessments.html#CONF-0826
           ]
         ] )
       ]
     ] ) ;
     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-0836"
       ]
     ] [
       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 `DiagnosticReport.basedOn` element connects the DiagnosticReport to the originating order in the EHR. Systems that initiate the order **SHOULD** use this element when reporting the results."
       ]
     ] [
       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-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0836"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0836
           ]
         ] )
       ]
     ] ) ;
     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-0837"
       ]
     ] [
       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 `DiagnosticReport.media.link` element **SHOULD** be used to support links to various patient-friendly content, such as jpg images of x-rays (see the DiagnosticReport Chest X-ray Report Example)."
       ]
     ] [
       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-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0837"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0837
           ]
         ] )
       ]
     ] ) ;
     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-0838"
       ]
     ] [
       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 `DiagnosticReport.imagingStudy` element **SHOULD** be used to support exchange with systems that can view DICOM (Digital Imaging and Communications in Medicine) studies, series, and SOP (Service-Object Pair) instances referenced in the -[ImagingStudy](http://hl7.org/fhir/R4/imagingstudy.html) 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 "StructureDefinition-us-core-diagnosticreport-note.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.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-diagnosticreport-note.html#CONF-0838"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-diagnosticreport-note.html#CONF-0838
           ]
         ] )
       ]
     ] ) ;
     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-0839"
       ]
     ] [
       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 referenced document or file [referenced by `DocumentReference.content.attachment.url`]  is hosted on a Server outside the FHIR Server, it **SHOULD**be securely accessible using the same authorization credentials that were used to access the FHIR Server. This reduces complexity for the Client and improves the user experience."
       ]
     ] [
       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"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-documentreference.html ;
         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"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-documentreference.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-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-0839"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0839
           ]
         ] )
       ]
     ] ) ;
     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-0840"
       ]
     ] [
       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 "Although the [US Core Interpreter Needed] extension is marked as an Additional USCDI Requirements on both US Core Patient and US Core Encounter Profiles, the certifying Server system is not required to support the extension on both profiles, but **SHALL** support the extension on at least one."
       ]
     ] [
       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-0840"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0840
           ]
         ] )
       ]
     ] ) ;
     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-0841"
       ]
     ] [
       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 "There is no guarantee that vaccine lot numbers are globally unique, and they are not recommended for matching or de-duplication across systems unless used with other data elements such as a vaccine product code, manufacturer code, or date of administration. Implementers **MAY**  communicate the `Immunization.manufacturer` to ensure global uniqueness to lot numbers."
       ]
     ] [
       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-immunization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-immunization.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-immunization.html#CONF-0841"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-immunization.html#CONF-0841
           ]
         ] )
       ]
     ] ) ;
     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-0842"
       ]
     ] [
       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 **SHALL** return all active medications following the [Get All Active Medications](https://hl7.org/fhir/us/core/STU8/medication-list.html#get-all-active-medications) guidance."
       ]
     ] [
       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-0842"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-medicationrequest.html#CONF-0842
           ]
         ] )
       ]
     ] ) ;
     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-0843"
       ]
     ] [
       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 "[For US Core Laboratory Result Observation Profile, even] when the specimen type is already implied by the LOINC code used in `Observation.code` (e.g., a LOINC code for Blood Glucose), the `Observation.specimen` element **SHOULD** also be populated with the referenced Specimen resource to explicitly communicate the collected specimen type."
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0843"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0843
           ]
         ] )
       ]
     ] ) ;
     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-0844"
       ]
     ] [
       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 "[For US Core Laboratory Result Observation Profile, the] type of specimen [in `Observation.specimen`] **SHOULD** not conflict with the LOINC code [in `Observation.code`]."
       ]
     ] [
       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-lab.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-observation-lab.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-lab.html#CONF-0844"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-lab.html#CONF-0844
           ]
         ] )
       ]
     ] ) ;
     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-0845"
       ]
     ] [
       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]  category type \"survey\" is required."
       ]
     ] [
       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-0845"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0845
           ]
         ] )
       ]
     ] ) ;
     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-0850"
       ]
     ] [
       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 "[For the US Core Observation Screening Assessment Profile,] when using Observation.derivedFrom to reference an Observation, the referenced Observation **SHOULD** be a US Core Observation."
       ]
     ] [
       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-0850"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0850
           ]
         ] )
       ]
     ] ) ;
     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-0851"
       ]
     ] [
       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 "Servers **SHOULD** use 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)] or the [US Core Encounter Profile](https://hl7.org/fhir/us/core/STU8/StructureDefinition-us-core-encounter.html) to communicate whether a patient needs an interpreter."
       ]
     ] [
       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-0851"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0851
           ]
         ] )
       ]
     ] [
       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-0851"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0851
           ]
         ] )
       ]
     ] ) ;
     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-0855"
       ]
     ] [
       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** designate the patient's preferred language in the Patient.communication.preferred 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-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-0855"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0855
           ]
         ] )
       ]
     ] [
       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-0855"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-encounter.html#CONF-0855
           ]
         ] )
       ]
     ] ) ;
     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-0857"
       ]
     ] [
       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 "For the USCDI *Laboratory Order*, *Imaging Order*, *Clinical Test Order*, and *Procedure Order* Data Elements, implementers **SHOULD** use the corresponding category codes listed in the table"
       ]
     ] [
       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#root"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-servicerequest.html#root ;
         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-0857"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0857
           ]
         ] )
       ]
     ] ) ;
     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-0868"
       ]
     ] [
       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 "Although '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. Servers are not required to support both, but **SHALL** support at least one."
       ]
     ] [
       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-0868"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-simple-observation.html#CONF-0868
           ]
         ] )
       ]
     ] ) ;
     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-0871"
       ]
     ] [
       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] slicer's Additional USCDI property only defines the element level Additional USCDI...[, i.e.,] no Additional USCDI... property is defined for the slice, then support for that slice's definition is 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#must-support---slices"^^xsd:anyURI ;
         fhir:l fhir:must-support.html#must-support---slices ;
         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-0871"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0871
           ]
         ] )
       ]
     ] ) ;
     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-0881"
       ]
     ] [
       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 Responders **SHALL** be capable of providing [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-0881"^^xsd:anyURI ;
             fhir:l fhir:must-support.html#CONF-0881
           ]
         ] )
       ]
     ] ) ;
     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-0885"
       ]
     ] [
       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 author is communicated by the elements and the author's role by the referenced target resource (for example, Patient, Practitioner/PractitionerRole, RelatedPerson, Device). Details about the author's role are contained in the target resource's contents. Many of these elements are labeled Must Support or Additional USCDI Requirements. However,[even if they are not   labeled Must Support or Additional USCDI Requirements] all of these elements and target resources **SHOULD** be supported in the profiles if the system captures the 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 "basic-provenance.html#individual-level-provenance"^^xsd:anyURI ;
         fhir:l fhir:basic-provenance.html#individual-level-provenance ;
         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 "basic-provenance.html#CONF-0885"^^xsd:anyURI ;
             fhir:l fhir:basic-provenance.html#CONF-0885
           ]
         ] )
       ]
     ] ) ;
     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-0887"
       ]
     ] [
       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 "Although '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. Servers are not required to support both, but **SHALL** support at least one."
       ]
     ] [
       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-0887"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-observation-screening-assessment.html#CONF-0887
           ]
         ] )
       ]
     ] ) ;
     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-0889"
       ]
     ] [
       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 " … this profile uses USPS Two Letter Alphabetic Codes for US states. When encoding addresses outside the US, systems **SHOULD**  use the [ISO 3166 subdivision codes](https://www.iso.org/iso-3166-country-codes.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-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-0889"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitioner.html#CONF-0889
           ]
         ] )
       ]
     ] [
       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-organization.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-organization.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-organization.html#CONF-0889"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-organization.html#CONF-0889
           ]
         ] )
       ]
     ] [
       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-0889"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0889
           ]
         ] )
       ]
     ] [
       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-relatedperson.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-relatedperson.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-relatedperson.html#CONF-0889"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-relatedperson.html#CONF-0889
           ]
         ] )
       ]
     ] ) ;
     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-0890"
       ]
     ] [
       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 "Due to implementer feedback, some US Core Profiles reference the base FHIR PractitionerRole resource instead of the US Core PractitionerRole Profile. However, the US Core PractitionerRole Profile **SHOULD** be used as the default profile if referenced by another US Core 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-practitionerrole.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-practitionerrole.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-practitionerrole.html#CONF-0890"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitionerrole.html#CONF-0890
           ]
         ] )
       ]
     ] ) ;
     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-0891"
       ]
     ] [
       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 selecting role codes...implementers **SHOULD** choose the code that reflects the specific duties performed within that role rather than the specialty unless the individual's professional specialization characterizes the role."
       ]
     ] [
       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-practitionerrole.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-practitionerrole.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-practitionerrole.html#CONF-0891"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitionerrole.html#CONF-0891
           ]
         ] )
       ]
     ] ) ;
     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-0892"
       ]
     ] [
       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 "A procedure including an implantable device **SHOULD** use `Procedure.focalDevice` referencing the US Core Device 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-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-0892"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0892
           ]
         ] )
       ]
     ] ) ;
     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-0894"
       ]
     ] [
       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 exchanging legacy or text-only data, medical specialty codes **SHOULD** be taken from NUCC or SNOMED CT."
       ]
     ] [
       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-practitionerrole.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-practitionerrole.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-practitionerrole.html#CONF-0894"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-practitionerrole.html#CONF-0894
           ]
         ] )
       ]
     ] ) ;
     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-0895"
       ]
     ] [
       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 exchanging legacy or text-only data, procedure codes **SHOULD** be taken from SNOMED-CT, CPT, HCPCS II, ICD-10-PCS, CDT, or LOINC*."
       ]
     ] [
       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-0895"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-procedure.html#CONF-0895
           ]
         ] )
       ]
     ] ) ;
     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-0896"
       ]
     ] [
       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 guidance provides more flexibility for situations where implementers cannot fully comply with the FHIR guidance. This flexibility is sometimes necessary and expected for legacy and text-only data. However, for newly recorded, non-legacy data, a system **SHOULD** adhere to the extensible binding rules."
       ]
     ] [
       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-0896"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0896
           ]
         ] )
       ]
     ] ) ;
     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-0897"
       ]
     ] [
       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 "For data not captured by the system transmitting the information, the coded data **SHOULD** be automatically converted to fine-grained codes from the specified 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#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-0897"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0897
           ]
         ] )
       ]
     ] ) ;
     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-0898"
       ]
     ] [
       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 "For data not captured by the system transmitting the information, ....the system **MAY**  provide the existing code or the free text, and a high-level abstract code, such as the SNOMED CT code \"71388002\"(Procedure), to remain conformant with the 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-0898"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0898
           ]
         ] )
       ]
     ] ) ;
     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-0899"
       ]
     ] [
       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 represent the patient and provider attestation metadata, the optional DocumentReference Attestor R5 Extension defined in the US Core DocumentReference Profile **SHOULD** be used"
       ]
     ] [
       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-0899"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-adi-documentreference.html#CONF-0899
           ]
         ] )
       ]
     ] ) ;
     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-0900"
       ]
     ] [
       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 exchanging legacy or text-only data, condition codes **SHOULD** be taken from SNOMED CT and ICD-10-CM, USCDI's applicable vocabulary standards for the Problem Data 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-condition-problems-health-concerns.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.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-condition-problems-health-concerns.html#CONF-0900"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-problems-health-concerns.html#CONF-0900
           ]
         ] )
       ]
     ] [
       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-condition-encounter-diagnosis.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.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-condition-encounter-diagnosis.html#CONF-0900"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-condition-encounter-diagnosis.html#CONF-0900
           ]
         ] )
       ]
     ] ) ;
     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-0901"
       ]
     ] [
       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 "The Service Delivery Location Role Type value set is inherited from the base resource, and, although its binding strength is [extensible](http://hl7.org/fhir/R4/terminologies.html#extensible) in the base resource, US Core implementers **MAY**  treat it as [preferred](http://hl7.org/fhir/R4/terminologies.html#preferred)."
       ]
     ] [
       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-location.html#profile-specific-implementation-guidance"^^xsd:anyURI ;
         fhir:l fhir:StructureDefinition-us-core-location.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-location.html#CONF-0901"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-location.html#CONF-0901
           ]
         ] )
       ]
     ] ) ;
     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-0903"
       ]
     ] [
       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 exchanging Social Determinants of Health (SDOH) data, implementers **SHOULD** use the [Social Determinants of Health Goals](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion) set which is curated by the Gravity Project to represent goals for all SDOH Domains."
       ]
     ] [
       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-0903"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-goal.html#CONF-0903
           ]
         ] )
       ]
     ] ) ;
     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-0904"
       ]
     ] [
       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 "Implementers **SHOULD** conform to the binding strengths listed for each USCDI Order context...Laboratory Order|[LOINC Common Laboratory Orders Value Set]|extensible, Imaging Order|[LOINC Radiology Codes]|preferred, Clinical Test Order|[LOINC Clinical Test Codes]|preferred"
       ]
     ] [
       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-0904"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0904
           ]
         ] )
       ]
     ] ) ;
     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-0905"
       ]
     ] [
       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 "the US Core ServiceRequest Profile **MAY**  be used to represent a derived \"actionable\" order based on a portable Medical Order(PMO)."
       ]
     ] [
       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-0905"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0905
           ]
         ] )
       ]
     ] ) ;
     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-0906"
       ]
     ] [
       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] used to represent a derived \"actionable\" order based on a PMO...The `ServiceRequest.category` **SHOULD** be bound to  [Portable Medical Order Categories](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1267.34/Expansion)"
       ]
     ] [
       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-0906"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0906
           ]
         ] )
       ]
     ] ) ;
     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-0907"
       ]
     ] [
       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] used to represent a derived \"actionable\" order based on a PMO...ServiceRequest.code` **SHOULD** be aligned with the appropriate Category"
       ]
     ] [
       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-0907"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0907
           ]
         ] )
       ]
     ] ) ;
     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-0908"
       ]
     ] [
       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 `ServiceReqest.reasonReference` **SHOULD** be used to reference the US Core ADI DocumentReference Profile that indexes the PMO."
       ]
     ] [
       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-0908"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-servicerequest.html#CONF-0908
           ]
         ] )
       ]
     ] ) ;
     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-0909"
       ]
     ] [
       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 following scopes that correspond directly to FHIR resource types **SHALL** be supported\n...\n[For] RelatedPerson [the] <patient|user|system>/FamilyMemberHistory.rs [see [SMART Clinical Scope Syntax](https://hl7.org/fhir/smart-app-launch/STU2/scopes-and-launch-context.html#clinical-scope-syntax) for details on clinical data 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#scopes-for-requesting-fhir-resources-by-type"^^xsd:anyURI ;
         fhir:l fhir:scopes.html#scopes-for-requesting-fhir-resources-by-type ;
         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-0909"^^xsd:anyURI ;
             fhir:l fhir:scopes.html#CONF-0909
           ]
         ] )
       ]
     ] ) ;
     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-0912"
       ]
     ] [
       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 implementing US Core, implementers **SHOULD** use the published versions or later versions of the value sets and code 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 "terminology.html#us-core-valueset-and-codesystem-versions"^^xsd:anyURI ;
         fhir:l fhir:terminology.html#us-core-valueset-and-codesystem-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 "terminology.html#CONF-0912"^^xsd:anyURI ;
             fhir:l fhir:terminology.html#CONF-0912
           ]
         ] )
       ]
     ] ) ;
     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-0913"
       ]
     ] [
       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 "In some cases, [when implementing US Core]  implementers **MAY**  need to use terminology from earlier versions to preserve legacy 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 "terminology.html#us-core-valueset-and-codesystem-versions"^^xsd:anyURI ;
         fhir:l fhir:terminology.html#us-core-valueset-and-codesystem-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 "terminology.html#CONF-0913"^^xsd:anyURI ;
             fhir:l fhir:terminology.html#CONF-0913
           ]
         ] )
       ]
     ] ) ;
     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-0914"
       ]
     ] [
       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** represent *Suffix* using the `Patient.name.suffix` 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-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-0914"^^xsd:anyURI ;
             fhir:l fhir:StructureDefinition-us-core-patient.html#CONF-0914
           ]
         ] )
       ]
     ] ) ;
     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-0915"
       ]
     ] [
       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 "Profile Only Support: Systems **MAY** support *only* the US Core Profiles to represent clinical 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 "general-requirements.html#conforming-to-us-core"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#conforming-to-us-core ;
         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-0915"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0915
           ]
         ] )
       ]
     ] ) ;
     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-0916"
       ]
     ] [
       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 "Profile Support + Interaction Support: Systems **MAY** support *both* the US Core Profile content structure *and* the RESTful interactions defined for a 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 "general-requirements.html#conforming-to-us-core"^^xsd:anyURI ;
         fhir:l fhir:general-requirements.html#conforming-to-us-core ;
         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-0916"^^xsd:anyURI ;
             fhir:l fhir:general-requirements.html#CONF-0916
           ]
         ] )
       ]
     ] ) ;
     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:2.16.840.1.113883.4.642.40.2.36.3" ]
  ] ) ; # 
  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" ]
     ] )
  ] . # 

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