Query for Existing Data for Mobile (QEDm)
3.0.0-comment1 - ballot
Query for Existing Data for Mobile (QEDm)
3.0.0-comment1 - ballot
This page is part of the Query for Existing Data for Mobile (QEDm) (v3.0.0-comment1: Publication Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Active as of 2024-07-17 |
<CapabilityStatement xmlns="http://hl7.org/fhir">
<id value="IHE.QEDm.Clinical-Data-Source"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement IHE.QEDm.Clinical-Data-Source</b></p><a name="IHE.QEDm.Clinical-Data-Source"> </a><a name="hcIHE.QEDm.Clinical-Data-Source"> </a><a name="IHE.QEDm.Clinical-Data-Source-en-US"> </a><h2 id="title">IHE QEDm Clinical Data Source Actor</h2><ul><li>Implementation Guide Version: 3.0.0-comment1 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <strong>SHALL</strong> support <code>application/fhir+json</code>, <strong>SHOULD</strong> support <code>application/fhir+xml</code></li><li>Supported Patch Formats: <strong>SHOULD</strong>support <code>application/json-patch+json</code></li><li>Published on: 2024-07-17 </li><li>Published by: IHE Patient Care Coordination Technical Committee </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"><div><p>The Clinical Data Source in this profile responds to FHIR-based queries
for one or more fine-grained data elements (FHIR resources) defined by
the options listed in Section <a href="volume-1.html#actor-options">8.2 QEDm Actor Options</a>.</p>
</div><div class="lead"><em>Security</em></div><blockquote><div><p>Recommend <a href="https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html">ATNA</a>, encouraged <a href="https://profiles.ihe.net/ITI/IUA/index.html">IHE-IUA</a> or <a href="http://www.hl7.org/fhir/smart-app-launch/">SMART-app-launch</a></p>
</div></blockquote><div class="lead"><em>Summary of System-wide Interactions</em></div></div></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#AllergyIntolerance1-1">AllergyIntolerance</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Condition1-2">Condition</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>category, clinical-status, patient, patient+clinical-status, patient+category</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Immunization1-3">Immunization</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Medication1-4">Medication</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>patient</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#MedicationRequest1-5">MedicationRequest</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>patient</td><td><code>MedicationRequest:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#MedicationStatement1-6">MedicationStatement</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>patient</td><td><code>MedicationStatement:medication</code></td><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Observation1-7">Observation</a></td><td>Supported Profiles<br/> <a href="http://hl7.org/fhir/R4/vitalsigns.html">Vital Signs Profile</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-CombatZonePeriod.html">Combat Zone Period</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-EmploymentStatus.html">Employment Status</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-OccupationalDataForHealth.html">Occupational Data For Health</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-PastOrPresentJob.html">Past Or Present Job</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-RetirementDate.html">Retirement Date</a><br/> <a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-UsualWork.html">Usual Work</a></td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>category, code, date, status, patient, patient+category, patient+code, patient+category+date, patient+code+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#DiagnosticReport1-8">DiagnosticReport</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>category, code, date, patient, patient+category, patient+category+code, patient+category+date, patient+category+code+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Procedure1-9">Procedure</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>date, patient, patient+date</td><td/><td><code>Provenance:target</code></td><td/></tr><tr><td><a href="#Encounter1-10">Encounter</a></td><td> </td><td>y</td><td class="text-center">y</td><td class="text-center"></td><td class="text-center"></td><td>date, patient, patient+date</td><td/><td><code>Provenance:target</code></td><td/></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="AllergyIntolerance1-1" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>AllergyIntolerance</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/allergyintolerance.html">AllergyIntolerance</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/allergyintolerance.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Condition1-2" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Condition</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/condition.html">Condition</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Client applications should be prepared to encounter codes they do not recognize and handle the records
accordingly. Servers SHOULD populate Condition.code.coding.display and/or Condition.code.text so that
clients can always at least display the condition even if they do not know the codes that are used. Clients should be careful making use of the <code>code</code> search parameter given that the codes used
vary so much.</p>
<p>Safety Issues:</p>
<ul>
<li>Clients SHALL not treat all conditions as if they are part of the patient's current problem list
<ul>
<li>Note that some Condition resources may not have these status codes - this is usually due to poor record keeping reflected in legacy data</li>
<li>Servers SHOULD avoid leaving these status codes missing</li>
</ul>
</li>
<li>Clients SHALL pay attention to the <code>clinicalStatus</code> and <code>verificationStatus</code> and display and process them correctly</li>
<li>Clients SHALL still work safely when the server does not support all the search parameters listed here.</li>
</ul>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/condition.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/condition.html#search">category</a></td><td><code>token</code></td><td><div><p>The category of the condition</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/condition.html#search">clinical-status</a></td><td><code>token</code></td><td><div><p>The clinical status of the condition</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/condition.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/condition.html#search">clinical-status</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/condition.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/condition.html#search">category</a></td><td><code>reference</code>+<code>token</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Immunization1-3" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Immunization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/immunization.html">Immunization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/immunization.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Medication1-4" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Medication</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medication.html">Medication</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>The MedicationStatement and MedicationRequest resources can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationStatement or a MedicationRequest, then the READ and SEARCH Criteria <strong>SHALL</strong> be supported.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/medication.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationRequest1-5" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>MedicationRequest</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medicationrequest.html">MedicationRequest</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.</p>
<p>The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the <code>_include</code> parameter for searching this element. The client application <strong>SHALL</strong> support all methods. For example, A server <strong>SHALL</strong> be capable of returning all medications for a patient using one of or both:</p>
<p><code>GET /MedicationStatement?patient=[id]</code></p>
<p><code>GET /MedicationStatement?patient=[id]&_include=MedicationStatement:medication</code></p>
<p>When representing a prescribed medication, servers SHOULD use codings at the level of a clinical drug rather than ingredient or dose form (e.g. "loratadine 10mg oral tablet", rather than a bare ingredient like "loratadine" or a dose form like "loratadine oral tablet").</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/medicationrequest.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="MedicationStatement1-6" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>MedicationStatement</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/medicationstatement.html">MedicationStatement</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.</p>
<p>The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be <a href="http://hl7.org/fhir/R4/references.html#contained">contained</a> or an external resource. The server application <strong>MAY</strong> choose any one way or more than one method, but if an external reference to Medication is used, the server <strong>SHALL</strong> support the <code>_include</code> parameter for searching this element. The client application <strong>SHALL</strong> support all methods.</p>
</div></blockquote></div></div><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/medicationstatement.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"> </div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Observation1-7" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Observation</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/observation.html">Observation</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="http://hl7.org/fhir/R4/vitalsigns.html">http://hl7.org/fhir/StructureDefinition/vitalsigns</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-CombatZonePeriod.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-CombatZonePeriod</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-EmploymentStatus.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-EmploymentStatus</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-OccupationalDataForHealth.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-OccupationalDataForHealth</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-PastOrPresentJob.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-PastOrPresentJob</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-RetirementDate.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-RetirementDate</a><br/><a href="https://build.fhir.org/ig/IHE/PCC.ODH/StructureDefinition-odh-UsualWork.html">https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-UsualWork</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">category</a></td><td><code>token</code></td><td><div><p>The classification of the type of observation</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">code</a></td><td><code>token</code></td><td><div><p>The code of the observation type</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">date</a></td><td><code>date</code></td><td><div><p>Obtained date/time. If the obtained element is a period, a date that falls in the period. The date modifiers <code>ge</code>,<code>le</code>,<code>gt</code>,<code>lt</code> SHALL be supported.</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">status</a></td><td><code>token</code></td><td><div><p>The status of the observation</p>
</div></td></tr><tr><td><b>MAY</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">patient</a></td><td><code>reference</code></td><td><div><p>The Clinical Data Consumer SHALL support at least one of the search parameters combinations.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">code</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">category</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/observation.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">code</a>+<a href="http://hl7.org/fhir/R4/observation.html#search">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="DiagnosticReport1-8" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>DiagnosticReport</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/diagnosticreport.html">DiagnosticReport</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">category</a></td><td><code>token</code></td><td><div><p>The classification of the type of observation</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">code</a></td><td><code>token</code></td><td><div><p>The code of the observation type</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">date</a></td><td><code>date</code></td><td><div><p>Obtained date/time. If the obtained element is a period, a date that falls in the period. The date modifiers <code>ge</code>,<code>le</code>,<code>gt</code>,<code>lt</code> SHALL be supported.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">category</a></td><td><code>reference</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">category</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">code</a></td><td><code>reference</code>+<code>token</code>+<code>token</code></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">category</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">date</a></td><td><code>reference</code>+<code>token</code>+<code>date</code></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">category</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">code</a>+<a href="http://hl7.org/fhir/R4/diagnosticreport.html#search">date</a></td><td><code>reference</code>+<code>token</code>+<code>token</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Procedure1-9" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Procedure</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/procedure.html#search">date</a></td><td><code>date</code></td><td><div><p>Obtained date/time. If the obtained element is a period, a date that falls in the period. The date modifiers <code>ge</code>,<code>le</code>,<code>gt</code>,<code>lt</code> SHALL be supported.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/procedure.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/procedure.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/procedure.html#search">date</a></td><td><code>reference</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Encounter1-10" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Encounter</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/encounter.html">Encounter</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/><code>resolves</code></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong>support <code>read</code>, <code>search-type</code>.</li></ul></div></div><p/><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/encounter.html#search">date</a></td><td><code>date</code></td><td><div><p>Obtained date/time. If the obtained element is a period, a date that falls in the period. The date modifiers <code>ge</code>,<code>le</code>,<code>gt</code>,<code>lt</code> SHALL be supported.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/encounter.html#search">patient</a></td><td><code>reference</code></td><td><div/></td></tr></tbody></table></div><div class="col-lg-5"><span class="lead">Combined Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameters</th><th>Types</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/encounter.html#search">patient</a>+<a href="http://hl7.org/fhir/R4/encounter.html#search">date</a></td><td><code>reference</code>+<code>date</code></td></tr></tbody></table></div></div></div></div></div></div>
</text>
<url
value="https://profiles.ihe.net/PCC/QEDm/CapabilityStatement/IHE.QEDm.Clinical-Data-Source"/>
<version value="3.0.0-comment1"/>
<name value="IHE_QEDm_Clinical_Data_Source"/>
<title value="IHE QEDm Clinical Data Source Actor"/>
<status value="active"/>
<experimental value="false"/>
<date value="2024-07-17"/>
<publisher value="IHE Patient Care Coordination Technical Committee"/>
<contact>
<telecom>
<system value="url"/>
<value
value="https://www.ihe.net/ihe_domains/patient_care_coordination/"/>
</telecom>
</contact>
<contact>
<telecom>
<system value="email"/>
<value value="pcc@ihe.net"/>
</telecom>
</contact>
<contact>
<name value="IHE Patient Care Coordination Technical Committee"/>
<telecom>
<system value="email"/>
<value value="pcc@ihe.net"/>
</telecom>
</contact>
<description
value="CapabilityStatement for Clinical Data Source Actor.
The Clinical Data Source in this profile responds to FHIR-based queries
for one or more fine-grained data elements (FHIR resources) defined by
the options listed in Section [8.2 QEDm Actor Options](volume-1.html#actor-options)."/>
<jurisdiction>
<coding>
<system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<kind value="requirements"/>
<fhirVersion value="4.0.1"/>
<format value="application/fhir+json">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</format>
<format value="application/fhir+xml">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</format>
<patchFormat value="application/json-patch+json">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</patchFormat>
<rest>
<mode value="server"/>
<documentation
value="The Clinical Data Source in this profile responds to FHIR-based queries
for one or more fine-grained data elements (FHIR resources) defined by
the options listed in Section [8.2 QEDm Actor Options](volume-1.html#actor-options)."/>
<security>
<description
value="Recommend [ATNA](https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html), encouraged [IHE-IUA](https://profiles.ihe.net/ITI/IUA/index.html) or [SMART-app-launch](http://www.hl7.org/fhir/smart-app-launch/)"/>
</security>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="AllergyIntolerance"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="clinical-status"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="category"/>
</extension>
</extension>
<type value="Condition"/>
<documentation
value="Client applications should be prepared to encounter codes they do not recognize and handle the records
accordingly. Servers SHOULD populate Condition.code.coding.display and/or Condition.code.text so that
clients can always at least display the condition even if they do not know the codes that are used. Clients should be careful making use of the ```code``` search parameter given that the codes used
vary so much.
Safety Issues:
* Clients SHALL not treat all conditions as if they are part of the patient's current problem list
* Note that some Condition resources may not have these status codes - this is usually due to poor record keeping reflected in legacy data
* Servers SHOULD avoid leaving these status codes missing
* Clients SHALL pay attention to the ```clinicalStatus``` and ```verificationStatus``` and display and process them correctly
* Clients SHALL still work safely when the server does not support all the search parameters listed here."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="category"/>
<definition
value="http://hl7.org/fhir/SearchParameter/Condition-category"/>
<type value="token"/>
<documentation value="The category of the condition"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="clinical-status"/>
<definition
value="http://hl7.org/fhir/SearchParameter/Condition-clinical-status"/>
<type value="token"/>
<documentation value="The clinical status of the condition"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Immunization"/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Medication"/>
<documentation
value="The MedicationStatement and MedicationRequest resources can represent a medication, using an external reference to a Medication resource. If an external Medication Resource is used in a MedicationStatement or a MedicationRequest, then the READ and SEARCH Criteria **SHALL** be supported."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="MedicationRequest"/>
<documentation
value="Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.
The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the `_include` parameter for searching this element. The client application **SHALL** support all methods. For example, A server **SHALL** be capable of returning all medications for a patient using one of or both:
`GET /MedicationStatement?patient=[id]`
`GET /MedicationStatement?patient=[id]&_include=MedicationStatement:medication`
When representing a prescribed medication, servers SHOULD use codings at the level of a clinical drug rather than ingredient or dose form (e.g. "loratadine 10mg oral tablet", rather than a bare ingredient like "loratadine" or a dose form like "loratadine oral tablet")."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchInclude value="MedicationRequest:medication"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="MedicationStatement"/>
<documentation
value="Clients SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.
The MedicationRequest resources can represent a medication using either a code or refer to the Medication resource. When referencing Medication, the resource may be [contained](http://hl7.org/fhir/R4/references.html#contained) or an external resource. The server application **MAY** choose any one way or more than one method, but if an external reference to Medication is used, the server **SHALL** support the `_include` parameter for searching this element. The client application **SHALL** support all methods."/>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<updateCreate value="false"/>
<conditionalCreate value="false"/>
<conditionalUpdate value="false"/>
<conditionalDelete value="not-supported"/>
<referencePolicy value="resolves"/>
<searchInclude value="MedicationStatement:medication"/>
<searchRevInclude value="Provenance:target"/>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
</searchParam>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="category"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="code"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="category"/>
</extension>
<extension url="required">
<valueString value="date"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-search-parameter-combination">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<extension url="required">
<valueString value="patient"/>
</extension>
<extension url="required">
<valueString value="code"/>
</extension>
<extension url="required">
<valueString value="date"/>
</extension>
</extension>
<type value="Observation"/>
<supportedProfile
value="http://hl7.org/fhir/StructureDefinition/vitalsigns">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
</supportedProfile>
<supportedProfile
value="https://profiles.ihe.net/PCC/ODH/StructureDefinition/odh-CombatZonePeriod">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</supportedProfile>
<supportedProfile
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<name value="date"/>
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</resource>
</rest>
</CapabilityStatement>
IG © 2023+ IHE Patient Care Coordination Technical Committee. Package ihe.pcc.qedm#3.0.0-comment1 based on FHIR 4.0.1. Generated 2024-08-05
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