SHOULD Support the Following Implementation Guides:

SHOULD Implement All Or Parts Of The Following Capability Statements:

FHIR RESTful Capabilities

The Da Vinci CDex Data Source Client SHALL:

  1. Support at least one of the CDex approaches for exchanging clinical information

    1. Task-Based Approach
    2. Attachments

  2. Follow the guidelines for Generating and Verifying Signed Resources if signatures are required.

  3. Support JSON source formats for all Da Vinci CDex interactions.

  4. Declare a CapabilityStatement identifying transactions, and profiles supported.

  5. Support XML source formats for all Da Vinci CDex interactions.

    Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON. Transforms to and from XML will invalidate signatures.

Security:

  1. For general security consideration refer to the FHIR Security and Privacy Considerations.
  2. For security considerations specific to this guide refer to the Security and Privacy section.

Summary of System Wide Interactions

  • MAY support the transaction interaction.
  • MAY support the batch interaction.
  • MAY support the search-system interaction.
  • MAY support the history-system interaction.

Summary of System Wide Operations

  • SHOULD support the $submit-attachment operation.

    • If Attachments is supported, the Data Source Client SHALL support the $submit-attachment operation.

RESTful Capabilities by Resource/Profile:

Summary

Resource Type Supported Profiles Supported Searches Supported _includes Supported _revincludes Supported Operations
CommunicationRequest - - - - -
DocumentReference , , - - - -
Parameters - - - - -
QuestionnaireResponse CDex SDC QuestionnaireResponse Profile - - - -
ServiceRequest - - - - -

CommunicationRequest

Conformance Expectation: SHOULD

Resource Specific Documentation:

Required resource type to carry authorization information regarding for requesting Clinical information

Profile Interaction Summary:

  • SHOULD support read†, vread.
  • MAY support create, search-type, update, patch, delete, history-instance, history-type.
read†

Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a CommunicationRequest resource using: GET [base]/CommunicationRequest/[id]

DocumentReference

Conformance Expectation: SHOULD

Resource Specific Documentation:

Required resource type to support the $submit-attachment operation

Supported Profiles:

Profile Interaction Summary:

  • SHOULD support read, vread, update.
  • MAY support create, search-type, patch, delete, history-instance, history-type.

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a DocumentReference resource using: GET [base]/DocumentReference/[id]

Parameters

Conformance Expectation: SHOULD

Resource Specific Documentation:

Required resource type to support the $submit-attachment operation

Profile Interaction Summary:

  • SHOULD support create, read, vread, update.
  • MAY support search-type, patch, delete, history-instance, history-type.

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a Parameters resource using: GET [base]/Parameters/[id]

QuestionnaireResponse

Conformance Expectation: SHOULD

Resource Specific Documentation:

Required resource type to support the $submit-attachment operation for Requesting Attachments Using Questionnaires. SHALL* support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse.

Supported Profiles:

Profile Interaction Summary:

  • SHOULD support read, vread, update.
  • MAY support create, search-type, patch, delete, history-instance, history-type.

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a QuestionnaireResponse resource using: GET [base]/QuestionnaireResponse/[id]

ServiceRequest

Conformance Expectation: SHOULD

Resource Specific Documentation:

Required resource type to carry authorization information regarding for requesting Clinical information

Profile Interaction Summary:

  • SHOULD support search-type, read†, vread.
  • MAY support create, update, patch, delete, history-instance, history-type.
read†

Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario

Fetch and Search Criteria:

  • A Client SHOULD be capable of fetching a ServiceRequest resource using: GET [base]/ServiceRequest/[id]
<status value="active"/> <experimental value="false"/> <date value="2024-10-22T19:20:15.209680-08:00"/> <publisher value="HL7 International / Payer/Provider Information Exchange Work Group"/> <contact> <name value="HL7 International / Payer/Provider Information Exchange Work Group"/> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/claims"/> </telecom> <telecom> <system value="email"/> <value value="pie@lists.hl7.org"/> </telecom> </contact> <description value="This CapabilityStatement describes the expected capabilities of a Da Vinci CDex Data Source in *Client* mode during clinical data exchange with a Data Consumer. The capabilities include one or more of the following interactions: 1. Post the `$submit-attachment` operation to a Data Consumer endpoint. 2. Launch Da Vinci DTR. 3. Query for Authorization information represented by a CommunicationRequest or ServiceRequest. 4. Post a subscription notification to a Data Consumer endpoint updating the status of a task."/> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="US"/> </coding> </jurisdiction> <copyright value="Used by permission of HL7 International all rights reserved Creative Commons License"/> <kind value="requirements"/> <instantiates value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|3.1.1"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> </instantiates> <instantiates value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|6.1.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> </instantiates> <instantiates value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-client|7.0.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> </instantiates> <fhirVersion value="4.0.1"/> <format value="json"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHALL"/> </extension> </format> <format value="xml"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> </format> <implementationGuide value="http://hl7.org/fhir/us/davinci-dtr/ImplementationGuide/hl7.fhir.us.davinci-dtr|2.1.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> </implementationGuide> <rest> <mode value="client"/> <documentation value="The Da Vinci CDex Data Source Client **SHALL**: 1. Support at least one of the CDex approaches for exchanging clinical information 1. Task-Based Approach 1. Attachments 1. Follow the guidelines for [Generating and Verifying Signed Resources](signatures.html) *if signatures are required*. 1. Support JSON source formats for all Da Vinci CDex interactions. 1. Declare a CapabilityStatement identifying transactions, and profiles supported. - Follow the guidelines for [Conforming to CDex Attachments](attachments-conformance.html) if supporting this exchange. The Da Vinci CDex Data Source Client **MAY**: 1. Support XML source formats for all Da Vinci CDex interactions. > Implementers that choose to support XML need to be aware that JSON Web Signatures can only be created and validated in the original native JSON. Transforms to and from XML will invalidate signatures. "/> <security> <description value="1. For general security consideration refer to the FHIR [Security and Privacy Considerations](http://build.fhir.org/secpriv-module.html). 1. For security considerations specific to this guide refer to the [Security and Privacy](security.html) section."/> </security> <resource> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <type value="CommunicationRequest"/> <documentation value="Required resource type to carry authorization information regarding for requesting Clinical information"/> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="create"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="search-type"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="read"/> <documentation value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="vread"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="update"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="patch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="delete"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-instance"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-type"/> </interaction> </resource> <resource> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <type value="DocumentReference"/> <supportedProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|3.1.1"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHALL"/> </extension> </supportedProfile> <supportedProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|6.1.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHALL"/> </extension> </supportedProfile> <supportedProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHALL"/> </extension> </supportedProfile> <documentation value="Required resource type to support the `$submit-attachment` operation"/> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="create"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="search-type"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="read"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="vread"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="update"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="patch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="delete"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-instance"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-type"/> </interaction> </resource> <resource> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <type value="Parameters"/> <documentation value="Required resource type to support the `$submit-attachment` operation"/> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="create"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="search-type"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="read"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="vread"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="update"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="patch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="delete"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-instance"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-type"/> </interaction> </resource> <resource> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <type value="QuestionnaireResponse"/> <supportedProfile value="http://hl7.org/fhir/us/davinci-cdex/StructureDefinition/cdex-sdc-questionnaireresponse|2.1.0"> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> </supportedProfile> <documentation value="Required resource type to support the `$submit-attachment` operation for Requesting Attachments Using Questionnaires. *SHALL** support CDex SDC QuestionnaireResponse Profile for signed QuestionnaireResponse."/> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="create"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="search-type"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="read"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="vread"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="update"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="patch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="delete"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-instance"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-type"/> </interaction> </resource> <resource> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <type value="ServiceRequest"/> <documentation value="Required resource type to carry authorization information regarding for requesting Clinical information"/> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="create"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="search-type"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="read"/> <documentation value="Either a CommunicationRequest or ServiceRequest is required if an Authorization is required for a particular clinical data exchange scenario"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <code value="vread"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="update"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="patch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="delete"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-instance"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-type"/> </interaction> </resource> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="transaction"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="batch"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="search-system"/> </interaction> <interaction> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="MAY"/> </extension> <code value="history-system"/> </interaction> <operation> <extension url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation"> <valueCode value="SHOULD"/> </extension> <name value="submit-attachment"/> <definition value="http://hl7.org/fhir/us/davinci-cdex/OperationDefinition/submit-attachment"/> <documentation value="If [Attachments](attachments.html) is supported, the Data Source Client **SHALL** support the `$submit-attachment` operation."/> </operation> </rest> </CapabilityStatement>